Provider Demographics
NPI:1194123455
Name:DIANN ANDRIA BROWELL, LMSW, LCDC
Entity type:Organization
Organization Name:DIANN ANDRIA BROWELL, LMSW, LCDC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:ANDRIA
Authorized Official - Last Name:BROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCDC
Authorized Official - Phone:469-939-1000
Mailing Address - Street 1:1402 N VALLEY PKWY
Mailing Address - Street 2:308
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2909
Mailing Address - Country:US
Mailing Address - Phone:469-939-1000
Mailing Address - Fax:
Practice Address - Street 1:3705 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4177
Practice Address - Country:US
Practice Address - Phone:972-283-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58527251S00000X
TX12506251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health