Provider Demographics
NPI:1205427721
Name:BROWN, ARIANA (LCPC)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 TERRACE GREEN LN
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-7213
Mailing Address - Country:US
Mailing Address - Phone:618-698-3780
Mailing Address - Fax:
Practice Address - Street 1:1941 FRANK SCOTT PKWY E STE C
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:IL
Practice Address - Zip Code:62269-7387
Practice Address - Country:US
Practice Address - Phone:618-206-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.015855101Y00000X
IL180.015614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor