Provider Demographics
NPI:1659914000
Name:RICHARD P. BROOKS, JR., ARNP, INC.
Entity Type:Organization
Organization Name:RICHARD P. BROOKS, JR., ARNP, INC.
Other - Org Name:BEHAVIORAL HEALTHCARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-532-0060
Mailing Address - Street 1:804 LEVEE ST
Mailing Address - Street 2:
Mailing Address - City:HOQUIAM
Mailing Address - State:WA
Mailing Address - Zip Code:98550-2527
Mailing Address - Country:US
Mailing Address - Phone:360-532-0060
Mailing Address - Fax:360-532-0061
Practice Address - Street 1:804 LEVEE ST
Practice Address - Street 2:
Practice Address - City:HOQUIAM
Practice Address - State:WA
Practice Address - Zip Code:98550-2527
Practice Address - Country:US
Practice Address - Phone:360-532-0060
Practice Address - Fax:360-532-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0OtherIN PROCESS OF MEDICARE CREDENTIALING. NPI NEEDED TO SET UP BILLING