Provider Demographics
NPI:1023609526
Name:MICHELLE BROWN COUNSELING
Entity type:Organization
Organization Name:MICHELLE BROWN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:KRISTIN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:763-350-4005
Mailing Address - Street 1:8500 NORMANDALE LAKE BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3805
Mailing Address - Country:US
Mailing Address - Phone:612-405-9412
Mailing Address - Fax:
Practice Address - Street 1:8500 NORMANDALE LAKE BLVD STE 350
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-3805
Practice Address - Country:US
Practice Address - Phone:612-405-9412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health