Provider Demographics
NPI:1356099295
Name:BROWN, ELIZABETH ALEXANDRA (LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALEXANDRA
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 NW FOXHILL RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3428
Mailing Address - Country:US
Mailing Address - Phone:816-510-9782
Mailing Address - Fax:
Practice Address - Street 1:15100 W 127TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1449
Practice Address - Country:US
Practice Address - Phone:816-434-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist