Individual provider · Type 1 NPI

Raven J. Brown, PCMHT

Counselor · Hattiesburg, MS

NPI number 1992619993 Active

Practice location

110 Patton Ave
Hattiesburg, MS 39401-6155

Call (601) 582-1111 Map

Fax (601) 450-0765

Mailing address

PO Box 18679, 4100 Mamie Street
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X7278 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1992619993

Raven J. Brown, PCMHT's National Provider Identifier is 1992619993, issued on Sep 29, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 29, 2026.