Provider Demographics
NPI:1568848778
Name:BROWN, TAMARYN KELLEY (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:TAMARYN
Middle Name:KELLEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 OLD HAYMAKER RD
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1435
Mailing Address - Country:US
Mailing Address - Phone:412-824-4005
Mailing Address - Fax:
Practice Address - Street 1:339 OLD HAYMAKER RD
Practice Address - Street 2:SUITE 1102
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1435
Practice Address - Country:US
Practice Address - Phone:412-824-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010110101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health