MEDICARE: SHAKESHA LYNN BROWN LPCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	293042	KY

General Provider Information

NPI Number	:	1447120753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAKESHA LYNN BROWN LPCA

Provider Business Mailing Address
First Line	:	1910 GARDEN SPRINGS DR STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3664
Country	:	US
Telephone Number	:	859-493-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 GARDEN SPRINGS DR STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3664
Country	:	US
Telephone Number	:	859-493-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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