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STAR SULLIVAN BROWN MSW NPI 1033651807


NPI Information

NPI: 1033651807
Provider Name: STAR SULLIVAN BROWN, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7160 TCHULAHOMA RD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 536-3132
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Star Sullivan Brown, MSW is a mental health counselor in Southaven, MS. Star Sullivan Brown, MSW NPI is 1033651807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7160 TCHULAHOMA RD
SOUTHAVEN, MS
ZIP 38671-266
Phone: (662) 536-3132

The enumeration date for this NPI number is 11/10/2016 and was last updated on 12/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalP011078NORTH CAROLINANo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.