Provider Demographics
NPI:1801019427
Name:BROOKE, SHERRI MICHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:MICHELLE
Last Name:BROOKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:MICHELLE
Other - Last Name:DICKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:7112 MICHAEL LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-8614
Mailing Address - Country:US
Mailing Address - Phone:816-500-0975
Mailing Address - Fax:
Practice Address - Street 1:7509 NW TIFFANY SPRINGS PKWY STE 320
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1387
Practice Address - Country:US
Practice Address - Phone:816-500-1355
Practice Address - Fax:816-569-6797
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002002441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional