Provider Demographics
NPI:1194951178
Name:BROWN, ALBERT II
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:BROWN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 LYNDALE AVE N
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1703
Mailing Address - Country:US
Mailing Address - Phone:612-200-0866
Mailing Address - Fax:612-520-5662
Practice Address - Street 1:4149 LYNDALE AVE N
Practice Address - Street 2:SUITE 107
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-1703
Practice Address - Country:US
Practice Address - Phone:612-200-0866
Practice Address - Fax:612-520-5662
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302652101YA0400X, 103TA0400X
101YM0800X, 106H00000X, 103TB0200X, 103TF0000X, 103TC2200X, 103TP2701X, 103TP0814X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling