Provider Demographics
NPI:1073250049
Name:TOUSLEY, BROOKE LYNN (LMSW, CSW-I)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:LYNN
Last Name:TOUSLEY
Suffix:
Gender:F
Credentials:LMSW, CSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19421
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-0856
Mailing Address - Country:US
Mailing Address - Phone:775-507-2606
Mailing Address - Fax:
Practice Address - Street 1:10395 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5991
Practice Address - Country:US
Practice Address - Phone:775-507-2606
Practice Address - Fax:775-243-2194
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV201913984272084N0400X
NVIC-18781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty