Provider Demographics
NPI:1801141445
Name:BROWN, GEORGEANNA N (DHA)
Entity type:Individual
Prefix:DR
First Name:GEORGEANNA
Middle Name:N
Last Name:BROWN
Suffix:
Gender:F
Credentials:DHA
Other - Prefix:DR
Other - First Name:GEORGEANNA
Other - Middle Name:N
Other - Last Name:BROWN WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DHA
Mailing Address - Street 1:PO BOX 1695
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38935-1695
Mailing Address - Country:US
Mailing Address - Phone:662-452-0246
Mailing Address - Fax:
Practice Address - Street 1:405 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-2936
Practice Address - Country:US
Practice Address - Phone:662-452-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No1744R1102XOther Service ProvidersSpecialistResearch Study
No174H00000XOther Service ProvidersHealth Educator
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor