Provider Demographics
NPI:1255610721
Name:BROWN, BRIANNA LEIGH (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LEIGH
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 S ALAFAYA TRL
Mailing Address - Street 2:SUITE 17
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8984
Mailing Address - Country:US
Mailing Address - Phone:407-275-0745
Mailing Address - Fax:407-275-0829
Practice Address - Street 1:422 S ALAFAYA TRL
Practice Address - Street 2:SUITE 17
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8984
Practice Address - Country:US
Practice Address - Phone:407-275-0745
Practice Address - Fax:407-275-0829
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health