Provider Demographics
NPI:1700197662
Name:WEST, BROOKE ERIN (PHD LPC-S, RPT-S)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:ERIN
Last Name:WEST
Suffix:
Gender:F
Credentials:PHD LPC-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 FOREST HOLLOW PARK
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7825
Mailing Address - Country:US
Mailing Address - Phone:214-808-6026
Mailing Address - Fax:
Practice Address - Street 1:15028 BELTWAY DR
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3709
Practice Address - Country:US
Practice Address - Phone:214-674-3091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62539101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX62539OtherSTATE LICENSE