MEDICARE: MONIQUE D BROWN FAUST PHD LMHC MCAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	MCAP100321	FL
2	101YM0800X	Mental Health Counselor	MH18952	FL
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1164762696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE D BROWN FAUST PHD LMHC MCAP

Provider Business Mailing Address
First Line	:	800 N SAPODILLA AVE STE 3
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3640
Country	:	US
Telephone Number	:	561-899-9140
Fax Number	:	561-331-2715

Provider Business Practice Location Address
First Line	:	800 N SAPODILLA AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3640
Country	:	US
Telephone Number	:	561-899-9140
Fax Number	:	561-331-2715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2013
Last Update Date	:	11/14/2025

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