Provider Demographics
NPI:1528360864
Name:TOOKES, GARI DESHAWN (LCSW, MCAP, IC&RC)
Entity Type:Individual
Prefix:MR
First Name:GARI
Middle Name:DESHAWN
Last Name:TOOKES
Suffix:
Gender:M
Credentials:LCSW, MCAP, IC&RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11331
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32302-3331
Mailing Address - Country:US
Mailing Address - Phone:626-869-4052
Mailing Address - Fax:
Practice Address - Street 1:2001 OLD ST. AUGUSTINE RD.
Practice Address - Street 2:SUITE L208
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301
Practice Address - Country:US
Practice Address - Phone:850-462-3502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCCHW100151172V00000X
FLSW140161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker