Provider Demographics
NPI:1205405560
Name:BROOKS, VALERIE
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 NEEDMORE RD APT 827
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6121
Mailing Address - Country:US
Mailing Address - Phone:715-459-8112
Mailing Address - Fax:888-332-3984
Practice Address - Street 1:3929 LAMAR DR STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-7091
Practice Address - Country:US
Practice Address - Phone:931-494-6803
Practice Address - Fax:888-332-3984
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health