Provider Demographics
NPI:1881348852
Name:BROWN, RYAN C (PLMHP)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:C
Last Name:BROWN
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2797
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-2797
Mailing Address - Country:US
Mailing Address - Phone:402-354-3370
Mailing Address - Fax:
Practice Address - Street 1:CENTER POINTE
Practice Address - Street 2:9239 W. CENTER RD., STE 201
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-354-8005
Practice Address - Fax:402-354-8046
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12854101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health