Provider Demographics
NPI:1225291370
Name:BROWN, TRISH MARIE (MA, SCL, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:TRISH
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA, SCL, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7640 DIXIE HWY STE 155
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2095
Mailing Address - Country:US
Mailing Address - Phone:248-791-9266
Mailing Address - Fax:248-392-2601
Practice Address - Street 1:7640 DIXIE HWY STE 155
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2095
Practice Address - Country:US
Practice Address - Phone:248-791-9266
Practice Address - Fax:248-392-2601
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI246463101YS0200X
MIL1332361101YP2500X
MI6401010527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool