Provider Demographics
NPI:1225614142
Name:HARRIS, BROOKE (LPC-S)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HAYESBURY CT
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1058
Mailing Address - Country:US
Mailing Address - Phone:256-283-3608
Mailing Address - Fax:
Practice Address - Street 1:110 HAYESBURY CT
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1058
Practice Address - Country:US
Practice Address - Phone:256-283-3608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional