Provider Information for 1023413325
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. KELLY BROWN LPC
Sex: Female
NPI: 1023413325
Last Updated: 2024-08-07
Certification Date: 2024-08-07
Certification Date: 2024-08-07
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1023413325 | ||||||||||||||||
| Enumeration Date | 2014-10-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 8221 RANCH BLVD STE A-1 LITTLE ROCK, AR 72223-4616 United States Phone: 504-442-6472 | Fax: | ||||||||||||||||
| Primary Practice Address | 8221 RANCH DR. SUITE A-1 LITTLE ROCK, AR 72223 United States Phone: 501-442-6472 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|