Healthcare Provider Details

I. General information

NPI: 1518583293
Provider Name (Legal Business Name): KATY BROWN PLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 JORDAN DR
MONTICELLO AR
71655-5714
US

IV. Provider business mailing address

342 HIGHWAY 425 S
MONTICELLO AR
71655-4612
US

V. Phone/Fax

Practice location:
  • Phone: 870-367-6246
  • Fax:
Mailing address:
  • Phone: 870-942-3000
  • Fax: 870-942-3005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: