Provider Demographics
NPI:1649537689
Name:BROWN, JOY ELAINE (RN, MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ELAINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 E TWOHIG AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6433
Mailing Address - Country:US
Mailing Address - Phone:325-340-9899
Mailing Address - Fax:210-892-0080
Practice Address - Street 1:12 E TWOHIG AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6433
Practice Address - Country:US
Practice Address - Phone:325-340-9899
Practice Address - Fax:210-892-0080
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13059101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional