Provider Demographics
NPI:1659148096
Name:BROWNLEE, MADISON ROSE (LPCC)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:ROSE
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:ROSE
Other - Last Name:MLYNIEC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8203 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4696
Mailing Address - Country:US
Mailing Address - Phone:970-673-8103
Mailing Address - Fax:
Practice Address - Street 1:8203 W 20TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4696
Practice Address - Country:US
Practice Address - Phone:970-673-8103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021508101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health