Provider Demographics
NPI:1871396952
Name:CHRISTINA BROWN LPC ATR CSOTP PC
Entity type:Organization
Organization Name:CHRISTINA BROWN LPC ATR CSOTP PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC ATR CSOTP
Authorized Official - Phone:757-206-2370
Mailing Address - Street 1:PO BOX 7093
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23457-9998
Mailing Address - Country:US
Mailing Address - Phone:757-206-2370
Mailing Address - Fax:
Practice Address - Street 1:1776 PRINCESS ANNE RD STE S
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-3857
Practice Address - Country:US
Practice Address - Phone:757-438-7883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467960930Medicaid