Brown, Glenda G
Brown, Glenda G is an sole proprietor health care provider with primary practice located at 3205 Randall Pkwy Ste 105 , Wilmington NC 28403-2565. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Glenda G can be contacted via phone (910) 742-9243.Contact Information
Primary practice address
3205 Randall Pkwy Ste 105
Wilmington NC 28403-2565
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004881 | North Carolina |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | C004881 | North Carolina |
Profile Details
| NPI number | 1922100585 |
|---|---|
| LBN Legal business name | Brown, Glenda G |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | May 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922100585 | NPPES |
| North Carolina | Other | 141UW | BCBS |
| North Carolina | MEDICAID | 6003787 | BCBS |
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