Provider Demographics
NPI:1386158004
Name:BROWN, DARLENA (CADC)
Entity type:Individual
Prefix:MRS
First Name:DARLENA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75504-0005
Mailing Address - Country:US
Mailing Address - Phone:870-216-1561
Mailing Address - Fax:870-216-1570
Practice Address - Street 1:922 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-5055
Practice Address - Country:US
Practice Address - Phone:870-216-1561
Practice Address - Fax:870-216-1570
Is Sole Proprietor?:No
Enumeration Date:2017-11-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1525101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)