Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latasha Myjjole Brown, LCMHCA, CRC

Individual provider Rehabilitation Counselor · NPI 1063112662

Latasha Myjjole Brown, LCMHCA, CRC is a Rehabilitation Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4830 Matchwood Ct
Fayetteville, NC 28306-3934
Phone: (910) 489-6081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A18308 (NC)
Rehabilitation Counselor Taxonomy 225C00000X · Licence 532401 (NC)

Record details

NPI number1063112662
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA , CRC
Sole proprietorYes
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023