GLEN ELLIS BROWN NPI 1679177422

NPI Information

  • NPI: 1679177422
  • Provider Name: GLEN ELLIS BROWN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 161 COMEAUX RD
    RAYVILLE, LA
    ZIP 71269
  • Phone: (318) 303-5500

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NPI Details

Glen Ellis Brown is an addiction (substance use disorder) counselor in Rayville, LA. Glen Ellis Brown NPI is 1679177422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

161 COMEAUX RD
RAYVILLE, LA
ZIP 71269
Phone: (318) 303-5500

The enumeration date for this NPI number is 11/23/2020 and was last updated on 11/23/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)4056LOUISIANAYes

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: 11/21/2025

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