Healthcare Provider Details

I. General information

NPI: 1235226259
Provider Name (Legal Business Name): CAROLYN H BROWN MA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN LOUISE HINDMAN MED

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 MUSTANG DRIVE SUITE 200
GRAPEVINE TX
76051
US

IV. Provider business mailing address

3912 NAVAJO LN
BEDFORD TX
76021
US

V. Phone/Fax

Practice location:
  • Phone: 817-481-7474
  • Fax: 817-416-0900
Mailing address:
  • Phone: 817-399-1880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number17224
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17224
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: