Provider Demographics
NPI:1497943005
Name:BROWN, DONICE ENETTE (LPC/MHSP)
Entity Type:Individual
Prefix:MRS
First Name:DONICE
Middle Name:ENETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 20TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3906
Mailing Address - Country:US
Mailing Address - Phone:423-421-2798
Mailing Address - Fax:423-476-8029
Practice Address - Street 1:215 20TH ST NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3906
Practice Address - Country:US
Practice Address - Phone:423-421-2798
Practice Address - Fax:423-476-8029
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1895101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health