Provider Demographics
NPI:1801399258
Name:BROWN, DENISE RODRIGUEZ (PHD, LMHC, CPT)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:RODRIGUEZ
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD, LMHC, CPT
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DR DEE
Mailing Address - Street 1:1931 NW 150TH AVE STE 284
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2886
Mailing Address - Country:US
Mailing Address - Phone:954-787-8060
Mailing Address - Fax:954-787-8062
Practice Address - Street 1:1931 NW 150TH AVE STE 284
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2886
Practice Address - Country:US
Practice Address - Phone:954-501-0804
Practice Address - Fax:954-787-8062
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health