Provider Demographics
NPI:1891195954
Name:BROOKS, BIBI J (BSQP,QMHP,QSAP,CSAC-)
Entity Type:Individual
Prefix:MRS
First Name:BIBI
Middle Name:J
Last Name:BROOKS
Suffix:
Gender:F
Credentials:BSQP,QMHP,QSAP,CSAC-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7393 ELM RIDGE COURT
Mailing Address - Street 2:#B
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5748
Mailing Address - Country:US
Mailing Address - Phone:678-247-1796
Mailing Address - Fax:
Practice Address - Street 1:7393 ELM RIDGE COURT
Practice Address - Street 2:#B
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5748
Practice Address - Country:US
Practice Address - Phone:678-247-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker