Provider Demographics
NPI:1306615935
Name:BROWN, RODNEY KAREEM (REVEREND)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:KAREEM
Last Name:BROWN
Suffix:
Gender:M
Credentials:REVEREND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 DUCK COVE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8596
Mailing Address - Country:US
Mailing Address - Phone:469-708-7049
Mailing Address - Fax:
Practice Address - Street 1:9300 JOHN HICKMAN PKWY STE 801
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5913
Practice Address - Country:US
Practice Address - Phone:817-618-6001
Practice Address - Fax:469-405-6565
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach
No175T00000XOther Service ProvidersPeer Specialist