Provider Demographics
NPI:1376316216
Name:BROWN, TAMARA KATHLEEN ENGLAND (LPC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:KATHLEEN ENGLAND
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 PARKWAY NORTH BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1431
Mailing Address - Country:US
Mailing Address - Phone:770-886-5700
Mailing Address - Fax:770-886-0404
Practice Address - Street 1:5965 PARKWAY NORTH BLVD STE C
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1431
Practice Address - Country:US
Practice Address - Phone:770-886-5700
Practice Address - Fax:770-886-0404
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional