Provider Demographics
NPI:1538843537
Name:DR. STEPHAN BROWN, CENTER FOR PEACE COUNSELING
Entity type:Organization
Organization Name:DR. STEPHAN BROWN, CENTER FOR PEACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, NCC
Authorized Official - Phone:407-314-5373
Mailing Address - Street 1:PO BOX 620171
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32762-0171
Mailing Address - Country:US
Mailing Address - Phone:407-314-5373
Mailing Address - Fax:
Practice Address - Street 1:4767 NEW BROAD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6405
Practice Address - Country:US
Practice Address - Phone:407-314-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty