Provider Demographics
NPI:1225534019
Name:SLABY, BROOK (LMHC)
Entity Type:Individual
Prefix:
First Name:BROOK
Middle Name:
Last Name:SLABY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5489 GRAYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HONEOYE
Mailing Address - State:NY
Mailing Address - Zip Code:14471-9624
Mailing Address - Country:US
Mailing Address - Phone:585-362-7241
Mailing Address - Fax:
Practice Address - Street 1:5297 PARKSIDE DR BUILDING 400 OFFICE 411
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424
Practice Address - Country:US
Practice Address - Phone:585-362-7241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007503-1101YM0800X
CO0015086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health