Provider Demographics
NPI:1013316249
Name:BROWN, DANIELLE KATHERINE (MED, BA, BS, CADCDP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KATHERINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MED, BA, BS, CADCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 SIMSBURY CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3567
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24447 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1929
Practice Address - Country:US
Practice Address - Phone:248-308-9132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility