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
Fax: (248) 715-6804
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235301656 NPPES
Michigan MEDICAID 16658

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