Provider Demographics
NPI:1851161566
Name:BROOKS FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:BROOKS FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:VI
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:269-679-7217
Mailing Address - Street 1:1961 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ONEKAMA
Mailing Address - State:MI
Mailing Address - Zip Code:49675-8729
Mailing Address - Country:US
Mailing Address - Phone:269-679-7217
Mailing Address - Fax:
Practice Address - Street 1:1961 2ND ST
Practice Address - Street 2:
Practice Address - City:ONEKAMA
Practice Address - State:MI
Practice Address - Zip Code:49675-8729
Practice Address - Country:US
Practice Address - Phone:269-679-7217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty