Provider Demographics
NPI:1811416480
Name:BROWN, TE ANNA N
Entity Type:Individual
Prefix:
First Name:TE ANNA
Middle Name:N
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14485 E EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1420
Mailing Address - Country:US
Mailing Address - Phone:720-616-8733
Mailing Address - Fax:720-513-5858
Practice Address - Street 1:14485 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1420
Practice Address - Country:US
Practice Address - Phone:720-616-8733
Practice Address - Fax:720-513-5858
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0015719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health