Provider Demographics
NPI:1629274709
Name:BROWN, NANCY KLEINMAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KLEINMAN
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 1:1405 WILSON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6327
Mailing Address - Country:US
Mailing Address - Phone:512-306-1235
Mailing Address - Fax:
Practice Address - Street 1:503 W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1319
Practice Address - Country:US
Practice Address - Phone:512-999-0167
Practice Address - Fax:512-459-5999
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63075101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor