Provider Demographics
NPI:1386434330
Name:BROWN, JAIME LYNN
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41666-0027
Mailing Address - Country:US
Mailing Address - Phone:606-422-9646
Mailing Address - Fax:
Practice Address - Street 1:43 SPRINGFIELD DRIVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:KY
Practice Address - Zip Code:41666
Practice Address - Country:US
Practice Address - Phone:606-422-9646
Practice Address - Fax:606-422-9646
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251B00000X, 225X00000X, 235Z00000X, 3747P1801X, 101YM0800X, 103K00000X, 103T00000X, 251S00000X, 101YP2500X, 225100000X, 251C00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities