Provider Demographics
NPI:1992468953
Name:BROOKS, CHIMERE (RCSW-I)
Entity Type:Individual
Prefix:
First Name:CHIMERE
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RCSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WILLOW RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-2834
Mailing Address - Country:US
Mailing Address - Phone:229-262-5222
Mailing Address - Fax:
Practice Address - Street 1:107 WILLOW RIDGE CIR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31757-2834
Practice Address - Country:US
Practice Address - Phone:229-262-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical