Healthcare Provider Details

I. General information

NPI: 1568848778
Provider Name (Legal Business Name): TAMARYN KELLEY BROWN MS, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 OLD HAYMAKER RD SUITE 1102
MONROEVILLE PA
15146-1435
US

IV. Provider business mailing address

339 OLD HAYMAKER RD SUITE 1102
MONROEVILLE PA
15146-1435
US

V. Phone/Fax

Practice location:
  • Phone: 412-824-4005
  • Fax:
Mailing address:
  • Phone: 412-824-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010110
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: