Healthcare Provider Details

I. General information

NPI: 1407789555
Provider Name (Legal Business Name): KAYLA ELIZABETH BROWN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 BEACON ST STE 202
BROOKLINE MA
02446-3202
US

IV. Provider business mailing address

1330 BEACON ST STE 202
BROOKLINE MA
02446-3202
US

V. Phone/Fax

Practice location:
  • Phone: 508-677-5633
  • Fax:
Mailing address:
  • Phone: 617-354-4450
  • Fax: 833-941-3902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10004977
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: