Provider Demographics
NPI:1407326002
Name:FIXLER, BROOKE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:MARIE
Last Name:FIXLER
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 1:420 W 4TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-5393
Mailing Address - Country:US
Mailing Address - Phone:501-408-3431
Mailing Address - Fax:
Practice Address - Street 1:420 W 4TH ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-5393
Practice Address - Country:US
Practice Address - Phone:501-408-3431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76847101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty