Provider Demographics
NPI:1780319210
Name:BROWN, ALESHIA
Entity type:Individual
Prefix:
First Name:ALESHIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALESHIA
Other - Middle Name:
Other - Last Name:SPEICHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 E GAMBIER ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-3510
Mailing Address - Country:US
Mailing Address - Phone:740-397-2660
Mailing Address - Fax:740-392-3613
Practice Address - Street 1:106 E GAMBIER ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3510
Practice Address - Country:US
Practice Address - Phone:740-397-2660
Practice Address - Fax:740-392-3613
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.191247101YA0400X
101YA0400X, 390200000X, 171M00000X
OHAPS.003436175T00000X
OH374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0022470Medicaid