Provider Demographics
NPI:1790209807
Name:BROWN, JULIE L (LPC, MHSP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SUNSET MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2076
Mailing Address - Country:US
Mailing Address - Phone:423-894-3234
Mailing Address - Fax:423-894-9411
Practice Address - Street 1:113 STRINGER ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3254
Practice Address - Country:US
Practice Address - Phone:423-894-3234
Practice Address - Fax:423-266-5428
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN749101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health