Brown, Regina
Brown, Regina is an sole proprietor health care provider with primary practice located at 30700 Telegraph Rd Ste 3450 , Bingham Farms MI 48025-4527. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brown, Regina can be contacted via phone (248) 987-4721.Contact Information
Primary practice address
30700 Telegraph Rd Ste 3450
Bingham Farms MI 48025-4527
Phone: (248) 987-4721
Fax: (248) 715-6804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6361000599 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6361000599 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6361000599 | Michigan |
Profile Details
| NPI number | 1235301656 |
|---|---|
| LBN Legal business name | Brown, Regina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2008 |
| Last updated | Nov 15th, 2021 - about 3 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 | 1235301656 | NPPES |
| Michigan | MEDICAID | 16658 |
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