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SENIOR L BROWN SAC-IT
NPI 1710484738
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since April 06, 2018
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740(920) 337-6741 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Senior L Brown Sac-it NPPES

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

SENIOR L BROWN SAC-IT (NPI 1710484738) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (18194-130) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1710484738
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSENIOR L BROWNCredential: SAC-IT
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740 · Fax (920) 337-6741
Phone(920) 337-6740
Fax(920) 337-6741
Sole ProprietorNo
Enumeration DateApril 6, 2018
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1710484738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 18194-130
2357 W MASON ST, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 1

Medicaid101YA0400XWI

Other Providers at the Same Location NPPES 20

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

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JAMIE THEISEN SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Senior Brown's NPI number?

The NPI number for Senior Brown is 1710484738. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Senior Brown located?

Senior Brown practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Senior Brown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Senior Brown was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.