Basic Information
Provider Information
NPI: 1205136124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: FRAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 728
Address2:  
City: SYLVA
State: NC
PostalCode: 287790728
CountryCode: US
TelephoneNumber: 8285866600
FaxNumber: 8285866601
Practice Location
Address1: 669 S HAYWOOD ST
Address2:  
City: WAYNESVILLE
State: NC
PostalCode: 287866703
CountryCode: US
TelephoneNumber: 8284562997
FaxNumber: 8284562996
Other Information
ProviderEnumerationDate: 10/26/2010
LastUpdateDate: 01/06/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X8826NCY Behavioral Health & Social Service ProvidersCounselorProfessional
101YA0400X1673NCN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)

No ID Information.


Home