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NPI Code Detail

MEDICARE: MATTHEW BROWN LPCC

MEDICARE: MATTHEW BROWN LPCC
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
1101YM0800XMental Health CounselorLPCPCC00224562KY

General Provider Information

NPI Number : 1437505724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BROWN LPCC
Provider Business Mailing Address
First Line : 501 DARBY CREEK RD STE 11
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1605
Country : US
Telephone Number : 859-338-0466
Fax Number :
Provider Business Practice Location Address
First Line : 448 LEWIS HARGETT CIR STE 260
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3506
Country : US
Telephone Number : 859-338-0466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 07/15/2025

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