Provider Demographics
NPI:1558246892
Name:DOSIE-BROWN, NICOLE YVETTE (MS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:YVETTE
Last Name:DOSIE-BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:YVETTE
Other - Last Name:DOSIE-BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:448 RUNNING WOODS ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-5858
Mailing Address - Country:US
Mailing Address - Phone:773-218-8680
Mailing Address - Fax:
Practice Address - Street 1:1241 BLANDING BLVD STE 5
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-5908
Practice Address - Country:US
Practice Address - Phone:904-670-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor