Provider Demographics
NPI:1134181753
Name:BROWN, STEPHEN R SR (MSED, LPCC-S, LSW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:R
Last Name:BROWN
Suffix:SR
Gender:M
Credentials:MSED, LPCC-S, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-2741
Mailing Address - Country:US
Mailing Address - Phone:330-577-4099
Mailing Address - Fax:
Practice Address - Street 1:8790 E MARKET ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2360
Practice Address - Country:US
Practice Address - Phone:330-841-1160
Practice Address - Fax:330-841-1176
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0014079104100000X
OHE1892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker