Healthcare Provider Details

I. General information

NPI: 1124600606
Provider Name (Legal Business Name): BROWN'S ALL ABOUT YOU THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2021
Last Update Date: 04/25/2021
Certification Date: 04/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 N FEDERAL HWY STE 110
BOCA RATON FL
33432-2704
US

IV. Provider business mailing address

5725 NW 48TH CT
CORAL SPRINGS FL
33067-4002
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-1825
  • Fax:
Mailing address:
  • Phone: 216-256-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA J BROWN
Title or Position: OWNER
Credential: LMHC
Phone: 216-256-3344