Provider Demographics
NPI:1356996193
Name:BROWN, KEMONIA LEFAYE (MA, ALC, NCC)
Entity type:Individual
Prefix:MS
First Name:KEMONIA
Middle Name:LEFAYE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SOUTHLAND DRIVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35226
Mailing Address - Country:US
Mailing Address - Phone:205-422-5955
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTHLAND DR STE 204
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35226-3712
Practice Address - Country:US
Practice Address - Phone:205-422-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101Y00000X
ALC3239A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health