Provider Demographics
NPI:1649813882
Name:MYERS-BROOKS, KAITLYN ELIZABETH (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:ELIZABETH
Last Name:MYERS-BROOKS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7229 WITHERSPOON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1045
Mailing Address - Country:US
Mailing Address - Phone:443-799-1857
Mailing Address - Fax:
Practice Address - Street 1:2209 ARDMORE BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4851
Practice Address - Country:US
Practice Address - Phone:412-336-8653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011641101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor