Brown, Stella W.

Brown, Stella W. is an sole proprietor health care provider with primary practice located at 2614 Southerland St Suite One, Jackson MS 39216-4858. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Brown, Stella W. can be contacted via phone (601) 362-2624.

Contact Information

Primary practice address
2614 Southerland St Suite One Jackson MS 39216-4858
Fax: (601) 362-2622
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35-571 Mississippi

Profile Details

NPI number 1144233750
LBN Legal business name Brown, Stella W.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144233750 NPPES
Mississippi MEDICAID 00117542

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