Provider Demographics
NPI:1669839676
Name:BROWN, CHYNA (MS)
Entity Type:Individual
Prefix:
First Name:CHYNA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 SMITHVILLE CHURCH RD STE B
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-6486
Mailing Address - Country:US
Mailing Address - Phone:478-225-4886
Mailing Address - Fax:
Practice Address - Street 1:239 SMITHVILLE CHURCH RD STE B
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-6486
Practice Address - Country:US
Practice Address - Phone:478-225-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health