Provider Demographics
NPI:1750688347
Name:BROWN, AISHIA SONIA (MA,LPC)
Entity Type:Individual
Prefix:MRS
First Name:AISHIA
Middle Name:SONIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:MS
Other - First Name:AISHIA
Other - Middle Name:SONIA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:16060 FORDHAM ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-2950
Mailing Address - Country:US
Mailing Address - Phone:313-926-7081
Mailing Address - Fax:
Practice Address - Street 1:22826 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2539
Practice Address - Country:US
Practice Address - Phone:313-926-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health