Alexis Brown, LMFT

Individual provider Active NPI Marriage & Family Therapist · Pinetta, FL

NPI 1689380628 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1689380628
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MT4551 (FL)
Practice address
1647 NE Captain Buie Rd
Pinetta, FL 32350-2799
Phone
(850) 929-3000
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT4551FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida United Methodist Childrens Home, Inc. Current
since Jan 29, 2023
Accepting new patients

Locations

51 Childrens Way
Enterprise, FL 32725
Phone (386) 668-4774

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4551 FL Yes

Addresses

Primary practice location

1647 NE Captain Buie Rd
Pinetta, FL 32350-2799

Mailing address

51 Childrens Way
Enterprise, FL 32725-8135
Phone (386) 668-4774

Other providers in Pinetta, FL

All providers in Pinetta, FL · Marriage & Family Therapist in Florida

Sources for this page

Verify at the official NPI Registry.