Provider Demographics
NPI:1730522657
Name:BROWN, VERONICA LYNN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:LYNN
Other - Last Name:GIDDENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22739 VENTURA WAY
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-5108
Mailing Address - Country:US
Mailing Address - Phone:240-431-0467
Mailing Address - Fax:
Practice Address - Street 1:22685 THREE NOTCH RD STE 201
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-3152
Practice Address - Country:US
Practice Address - Phone:240-960-0149
Practice Address - Fax:240-559-1133
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC15341101YA0400X, 101YM0800X, 101YP2500X
MD9475101YA0400X, 101YM0800X, 101YP2500X
FL14470101YA0400X, 101YM0800X, 101YP1600X, 101YP2500X
101YM0800X
MDLCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1128851Medicaid