Provider Demographics
NPI:1417916248
Name:GUIDA, BROOKE L (LPC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:L
Last Name:GUIDA
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 1:1060B CLIFFWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3522
Mailing Address - Country:US
Mailing Address - Phone:843-270-8024
Mailing Address - Fax:866-624-4986
Practice Address - Street 1:1060B CLIFFWOOD DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3522
Practice Address - Country:US
Practice Address - Phone:843-270-8024
Practice Address - Fax:866-624-4986
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional