Healthcare Provider Details

I. General information

NPI: 1124719307
Provider Name (Legal Business Name): EMILY BROWN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BRADLEY DR
MOUNTAIN HOME AR
72653-2733
US

IV. Provider business mailing address

77 EAGLE RIDGE LN
LAKEVIEW AR
72642-7191
US

V. Phone/Fax

Practice location:
  • Phone: 870-340-2636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA2305009
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0022485
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2506020
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: