Provider Demographics
NPI:1598713265
Name:BROWN, PAUL AUSTIN JR (ACSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:AUSTIN
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 TWELVE OAKS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043
Mailing Address - Country:US
Mailing Address - Phone:205-531-8294
Mailing Address - Fax:205-669-7441
Practice Address - Street 1:2 RIVERCHASE OFFICE PLAZA
Practice Address - Street 2:SUITE 124
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244
Practice Address - Country:US
Practice Address - Phone:205-531-8294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPIP 464 0126C1041C0700X
AL4640126C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR75710Medicare UPIN