Provider Demographics
NPI:1629343777
Name:BROOKS, SALIDA GUINN (LPC)
Entity type:Individual
Prefix:MRS
First Name:SALIDA
Middle Name:GUINN
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 NORTHGATE PARK LN STE 201
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6952
Mailing Address - Country:US
Mailing Address - Phone:423-870-5647
Mailing Address - Fax:423-870-5545
Practice Address - Street 1:2120 NORTHGATE PARK LN STE 201
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6952
Practice Address - Country:US
Practice Address - Phone:423-870-5647
Practice Address - Fax:423-870-5545
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2811101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health