Provider Demographics
NPI:1780041962
Name:BROWN, MAGGIE (LMHCA)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA
Mailing Address - Street 1:9 LAKE BELLEVUE DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2454
Mailing Address - Country:US
Mailing Address - Phone:425-615-2514
Mailing Address - Fax:425-646-5124
Practice Address - Street 1:9 LAKE BELLEVUE DR
Practice Address - Street 2:SUITE 214
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2454
Practice Address - Country:US
Practice Address - Phone:425-615-2514
Practice Address - Fax:425-646-5124
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60444482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health