Provider Demographics
NPI:1376037788
Name:WESTBROOK COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:WESTBROOK COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-206-7525
Mailing Address - Street 1:200 KEIGAN DR
Mailing Address - Street 2:
Mailing Address - City:ELDON
Mailing Address - State:MO
Mailing Address - Zip Code:65026-5806
Mailing Address - Country:US
Mailing Address - Phone:254-206-7525
Mailing Address - Fax:
Practice Address - Street 1:200 KEIGAN DR
Practice Address - Street 2:
Practice Address - City:ELDON
Practice Address - State:MO
Practice Address - Zip Code:65026-5806
Practice Address - Country:US
Practice Address - Phone:254-206-7525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty