Provider Demographics
NPI:1205626611
Name:BROWN, TATIANA CHRISTINA (MSW, CSW)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:CHRISTINA
Last Name:BROWN
Suffix:
Gender:
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:TATIANA
Other - Middle Name:CHRISTINA
Other - Last Name:EAKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, CSW
Mailing Address - Street 1:3761 S 700 E
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1100
Mailing Address - Country:US
Mailing Address - Phone:801-878-0190
Mailing Address - Fax:
Practice Address - Street 1:3761 S 700 E
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84106-1100
Practice Address - Country:US
Practice Address - Phone:801-878-0190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14221141-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical