Provider Demographics
NPI:1518327360
Name:BROOKS, NIKKIYA D (LPC)
Entity Type:Individual
Prefix:
First Name:NIKKIYA
Middle Name:D
Last Name:BROOKS
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 1:2847 HADDON DR
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-2334
Mailing Address - Country:US
Mailing Address - Phone:404-610-2561
Mailing Address - Fax:
Practice Address - Street 1:2847 HADDON DR
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-2334
Practice Address - Country:US
Practice Address - Phone:404-610-2561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7177101YP2500X
GA009007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional