Provider Demographics
NPI:1073395505
Name:BROWN, ROXANNA (LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 WHEATON TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1713
Mailing Address - Country:US
Mailing Address - Phone:310-766-0987
Mailing Address - Fax:
Practice Address - Street 1:11824 JOLLYVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2318
Practice Address - Country:US
Practice Address - Phone:512-766-3510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204940101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health