Provider Demographics
NPI:1740060847
Name:BROWN, KATHERINE TAYLOR (MS, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:TAYLOR
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 BISCAYNE BLVD APT 7301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5307
Mailing Address - Country:US
Mailing Address - Phone:214-707-5195
Mailing Address - Fax:
Practice Address - Street 1:2701 BISCAYNE BLVD APT 7301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5307
Practice Address - Country:US
Practice Address - Phone:214-707-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14547101YA0400X
TX77031101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)