Provider Demographics
NPI:1043810252
Name:BROOKE HARRIS COUNSELING PLLC
Entity Type:Organization
Organization Name:BROOKE HARRIS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LICENSED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:720-775-0055
Mailing Address - Street 1:2922 EVERGREEN PKWY STE 325
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7915
Mailing Address - Country:US
Mailing Address - Phone:720-775-0055
Mailing Address - Fax:844-444-8420
Practice Address - Street 1:2922 EVERGREEN PKWY STE 325
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7915
Practice Address - Country:US
Practice Address - Phone:720-775-0055
Practice Address - Fax:844-444-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty