Provider Demographics
NPI:1477986511
Name:HOLMES-BROWN, TAWNYA
Entity Type:Individual
Prefix:
First Name:TAWNYA
Middle Name:
Last Name:HOLMES-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 PRIEST BRIDGE CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2544
Mailing Address - Country:US
Mailing Address - Phone:410-721-2835
Mailing Address - Fax:410-721-5523
Practice Address - Street 1:2142 PRIEST BRIDGE CT
Practice Address - Street 2:SUITE 1
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2544
Practice Address - Country:US
Practice Address - Phone:410-721-2835
Practice Address - Fax:410-721-5523
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG11910104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker