Provider Demographics
NPI:1124719208
Name:BROWN, STEVE (SSW, MSITM)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:SSW, MSITM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W 1150 N
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-1210
Mailing Address - Country:US
Mailing Address - Phone:801-864-7025
Mailing Address - Fax:
Practice Address - Street 1:53 W 1150 N
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-1210
Practice Address - Country:US
Practice Address - Phone:801-864-7025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health