Provider Demographics
NPI:1750611992
Name:SPRAYBERRY, BROOK TAYLOR (LPC, MHSP, MS, NCC)
Entity type:Individual
Prefix:
First Name:BROOK
Middle Name:TAYLOR
Last Name:SPRAYBERRY
Suffix:
Gender:F
Credentials:LPC, MHSP, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9537 ROOKWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363
Mailing Address - Country:US
Mailing Address - Phone:423-667-6641
Mailing Address - Fax:
Practice Address - Street 1:2120 NORTHGATE PARK LANE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415
Practice Address - Country:US
Practice Address - Phone:423-870-5647
Practice Address - Fax:423-870-5545
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health