Provider Demographics
NPI:1902194558
Name:BROWNIE, ERICA RENEE
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:RENEE
Last Name:BROWNIE
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 1:400 E DANFORTH RD APT 187
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4404
Mailing Address - Country:US
Mailing Address - Phone:405-881-4355
Mailing Address - Fax:
Practice Address - Street 1:400 E DANFORTH RD APT 187
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4404
Practice Address - Country:US
Practice Address - Phone:405-881-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health