Provider Demographics
NPI:1841069499
Name:BROWN, GRACE KATHERINE (MFT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:KATHERINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 RANKIN ST NE # 616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2856
Mailing Address - Country:US
Mailing Address - Phone:470-765-7373
Mailing Address - Fax:
Practice Address - Street 1:1801 PEACHTREE ST NE STE 160
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1881
Practice Address - Country:US
Practice Address - Phone:404-549-3994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist