Basic Information
| Provider Information | |||||||||
| NPI: | 1235383605 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN-BURRELL | ||||||||
| FirstName: | SHEILA | ||||||||
| MiddleName: | FAYE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | LLPC; CAAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16772 PIERSON ST. | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3135228275 | ||||||||
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| Practice Location | |||||||||
| Address1: | 43825 MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343973088 | ||||||||
| FaxNumber: | 7343970078 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2008 | ||||||||
| LastUpdateDate: | 11/11/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 6401008700 | MI | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.