NPI Code Details Logo

NPI 1124719307

NPI 1124719307 : EMILY BROWN LPC : MOUNTAIN HOME, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124719307
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EMILY BROWN LPC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/17/2023
-----------------------------------------------------
    Last Update Date     |    10/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    711 BRADLEY DR 
-----------------------------------------------------
    City                 |    MOUNTAIN HOME
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72653-2733
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    870-340-2636
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    77 EAGLE RIDGE LN 
-----------------------------------------------------
    City                 |    LAKEVIEW
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72642-7191
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    A2305009
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    LPC.0022485
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    P2506020
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.