Provider Demographics
NPI:1235573510
Name:SEIZ, BROOKE (LPC)
Entity Type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:
Last Name:SEIZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6417 W 101ST PL
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1705
Mailing Address - Country:US
Mailing Address - Phone:913-213-1272
Mailing Address - Fax:
Practice Address - Street 1:8014 STATE LINE RD STE 112
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3712
Practice Address - Country:US
Practice Address - Phone:303-317-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
KS03971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education