1. Home
  2. Directory
  3. Tennessee
  4. Bolivar
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BROWN BEHAVIORAL HEALTH SERVICES
NPI 1699416636
Clinic/Center - Rural Health in Bolivar, TN

Active since April 05, 2022CLIA Certified · 2 labs
793 TENNESSEE ST, BOLIVAR, TN 38008(731) 228-9068(901) 425-9773 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Apr 13, 2025, Aug 14, 2024 and 3 more (6 updates tracked since 2022).

About Brown Behavioral Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROWN BEHAVIORAL HEALTH SERVICES (NPI 1699416636) is a healthcare organization registered as a rural health in Bolivar, Tennessee and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Avanti Cross-brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699416636
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBROWN BEHAVIORAL HEALTH SERVICES
Location Address793 TENNESSEE STBolivar, TN 38008-2441
Mailing Address793 Tennessee StBolivar, TN 38008-2441 · (731) 228-9068 · Fax (901) 425-9773
Phone(731) 228-9068
Fax(901) 425-9773
Organization SubpartNo
Authorized OfficialAvanti Cross-brownCeo · (731) 228-9068
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 17, 20266 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1699416636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
793 TENNESSEE ST, Bolivar, TN 38008
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19851 Highway 178 Ste BOlive Branch, MS 38654-3214 · Phone (731) 228-9068
Location 23694 Iron Bridge RdOlive Branch, MS 38654-5566 · Phone (731) 228-9068 · Fax (901) 425-9773
Location 3623 Moss LnBolivar, TN 38008-1074 · Phone (901) 864-9563

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2306686

Brown Behavioral Health Services · Bolivar, TN
Active · expires Jun 23, 2028
CLIA Number44D2306686
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorAvanti Cross-Brown
Laboratory Phone(731) 228-9068
Laboratory LocationBrown Behavioral Health Services793 Tennessee St, Bolivar, TN 38008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2291668

Brown Behavioral Health Services · Olive Branch, MS
Active · expires Oct 12, 2027
CLIA Number25D2291668
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorAvanti Cross-Brown
Laboratory Phone(731) 228-9068
Laboratory LocationBrown Behavioral Health Services9851 Hwy 178 Ste B, Olive Branch, MS 38654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSANNA REID
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
MR. BRODERICK WEBSTER SR. LPC
Counselor (Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
TATYANA DEMATO MSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
DR. AVANTI CROSS-BROWN DNP, PMHNP, CARN-AP
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (901) 864-9563
PEGGY CLARK LMSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
BRUCE WILKS LADAC
Counselor (Addiction (Substance Use Disorder))
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
JOSELYN WILSON PSYCHOLOGY
Psychologist (Counseling)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
MRS. KAYLA WILLIAMS APRN, DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brown Behavioral Health Services's NPI number?

The NPI number for Brown Behavioral Health Services is 1699416636. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Brown Behavioral Health Services located?

Brown Behavioral Health Services is located at 793 Tennessee St, Bolivar, TN 38008. The listed phone number is (731) 228-9068.

What is Brown Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Brown Behavioral Health Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brown Behavioral Health Services was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.