Provider Demographics
NPI:1780565119
Name:GARRIS BROWN, DEMARIS A
Entity type:Individual
Prefix:MRS
First Name:DEMARIS
Middle Name:A
Last Name:GARRIS BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 FOXMEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2615
Mailing Address - Country:US
Mailing Address - Phone:410-266-3058
Mailing Address - Fax:410-266-3257
Practice Address - Street 1:177 ADMIRAL COCHRANE DR STE 130
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7307
Practice Address - Country:US
Practice Address - Phone:410-266-3058
Practice Address - Fax:410-266-3257
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional