| David E Brown, LPC/ MHSP | |
| 
					109 W Watauga Ave, Johnson City, TN 37604-5621  | |
| (423) 232-2600 | |
| (423) 232-2646 | 
| Full Name | David E Brown | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 109 W Watauga Ave, Johnson City, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093177701 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0003889-SUPV (Ohio) | Secondary | 
| 101YP2500X | Counselor - Professional | 7381 (Tennessee) | Primary | 
| Entity Name | Central Clinic Outpatient Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326589722 PECOS PAC ID: 3870860380 Enrollment ID: O20170602002131  | 
| Mailing Address | Practice Location Address | 
|---|---|
| David E Brown, LPC/ MHSP 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600  | David E Brown, LPC/ MHSP 109 W Watauga Ave, Johnson City, TN 37604-5621 Ph: (423) 232-2600  | 
Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550  | |
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Neil Stoltzfus,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150  | |
Michael Arthur Benoit,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550  | |
Dr. Nicholas Porta, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699  | |
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432  |