NPI 1316604150 · live from the CMS NPI Registry
Roosevelt Brown, DMin, LMFT
Marriage & Family Therapist in Newport News, VA. National Provider Identifier 1316604150, active.
NPI record
| NPI | 1316604150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 707 Gum Rock Ct, Newport News, VA 23606 |
| Practice phone | 757-873-2273 |
| Mailing address | Po Box 2546, Virginia Beach, VA 23450 |
| Enumerated | November 29, 2021 |
| Last updated | November 29, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0717001841 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.