Provider Demographics
NPI:1649004169
Name:CLEARBROOK COUNSELING LLC
Entity type:Organization
Organization Name:CLEARBROOK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:MARKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-993-9700
Mailing Address - Street 1:2440 SANDY PLAINS ROAD
Mailing Address - Street 2:BUILDING 21 SUITE 200
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066
Mailing Address - Country:US
Mailing Address - Phone:770-993-9700
Mailing Address - Fax:770-993-9800
Practice Address - Street 1:2440 SANDY PLAINS ROAD
Practice Address - Street 2:BUILDING 21 SUITE 200
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066
Practice Address - Country:US
Practice Address - Phone:770-993-9700
Practice Address - Fax:770-993-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health