Healthcare Provider Details

I. General information

NPI: 1588591457
Provider Name (Legal Business Name): KIARA JANAY BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

578 AZALEA RD STE 112C
MOBILE AL
36609-1551
US

IV. Provider business mailing address

578 AZALEA RD STE 112
MOBILE AL
36609-1551
US

V. Phone/Fax

Practice location:
  • Phone: 251-220-7065
  • Fax:
Mailing address:
  • Phone: 251-233-6174
  • Fax: 251-233-6174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05980
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: