MRS. MADONNA BROWN (NPI# 1396982880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396982880 |
| Entity Type | Individual |
| Full Name | MRS. MADONNA BROWN |
| Credential | NCC, LPC, CCMHC |
| Practice Address |
1503-h Wayne Memorial Dr Goldsboro NC 27534-2231 |
| Mailing Address |
Po Box 10494 Goldsboro NC 27532-0494 |
| Practice Telephone | 9193304576 |
| Practice Fax Number | 9195815017 |
| Mailing Telephone | 9194406197 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7277 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6104118 | 05 |
| Street Address |
1503-H WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538582259 | Life Recovery Services Pllc | Counselor | 1503-h Wayne Memorial Dr, Goldsboro, NC 27534 | 2014-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538670658 | Karen Louise Bieniek | Counselor | 103 Sable Dr, Goldsboro, NC 27530-9023 | 2017-10-16 |
| 1467806331 | Gregory Brown | Counselor | 1503 Wayne Memorial Dr Ste H, Goldsboro, NC 27534-2203 | 2016-04-18 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1255774816 | Michele Lynne Martinez | Counselor | 211 Lee Dr, Goldsboro, NC 27534-5645 | 2013-04-14 |
| 1679820922 | Angela Lynn Fivek | Counselor | 502-f Boxwood Lane, Apt. F, Goldsboro, NC 27534-4217 | 2012-08-06 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1902175342 | Serenity Counseling Services, Pllc | Counselor | 2500 Peachtree St, Goldsboro, NC 27534-4312 | 2011-12-14 |
| 1063798676 | Kathleen Wright | Counselor | 1601 Cuyler Best Rd Apt K2, Goldsboro, NC 27534-8211 | 2011-10-26 |
| 1811203904 | Jamie Diane Livengood | Counselor | 117 Overbrook Rd, Goldsboro, NC 27534-4309 | 2010-08-26 |
| 1841486909 | Tamara Adams Munoz | Counselor | 204 Delbert Dr, Goldsboro, NC 27534-9056 | 2007-09-21 |
| Find all providers in GOLDSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.