Provider Demographics
NPI:1457757338
Name:JAMES, BROOKE ELIZABETH (LCAS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ELIZABETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCAS, LMFT
Other - Prefix:MRS
Other - First Name:BROOKE
Other - Middle Name:ELIZABETH
Other - Last Name:BICKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAS, LMFT
Mailing Address - Street 1:1042 WASHINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605
Mailing Address - Country:US
Mailing Address - Phone:919-438-1852
Mailing Address - Fax:920-486-6689
Practice Address - Street 1:1042 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605
Practice Address - Country:US
Practice Address - Phone:919-438-1852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1457757338OtherPRIVATE PRACTICE