Provider Demographics
NPI:1730585282
Name:BROWN-JOHNSON, DEANNA LYNN (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LYNN
Last Name:BROWN-JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DEANNA
Other - Middle Name:LYNN
Other - Last Name:BROWN-JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:790 SUNSET BLVD N STE 3
Mailing Address - Street 2:
Mailing Address - City:SUNSET BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28468-4339
Mailing Address - Country:US
Mailing Address - Phone:910-575-4200
Mailing Address - Fax:910-575-4201
Practice Address - Street 1:790 SUNSET BLVD N STE 3
Practice Address - Street 2:
Practice Address - City:SUNSET BEACH
Practice Address - State:NC
Practice Address - Zip Code:28468-4339
Practice Address - Country:US
Practice Address - Phone:910-575-4200
Practice Address - Fax:910-575-4201
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11182101YA0400X, 101YM0800X, 106H00000X
NC20495101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist