Provider Demographics
NPI:1942057070
Name:BROWN, CHRISTINE LEIGH (BSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:BROWN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 WILLIAMSON CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4201
Mailing Address - Country:US
Mailing Address - Phone:502-812-5391
Mailing Address - Fax:
Practice Address - Street 1:1831 WILLIAMSON CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4201
Practice Address - Country:US
Practice Address - Phone:502-334-1140
Practice Address - Fax:502-919-7150
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)