Provider Demographics
NPI:1013805142
Name:DELOACH, BROOKE MORGAN (LPCA)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:MORGAN
Last Name:DELOACH
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 GREGORIE FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9351
Mailing Address - Country:US
Mailing Address - Phone:843-603-4484
Mailing Address - Fax:
Practice Address - Street 1:1177 GREGORIE FERRY RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-9351
Practice Address - Country:US
Practice Address - Phone:843-603-4484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1700233640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional