Provider Demographics
NPI:1821201344
Name:BROOKS, JAMES BYRON (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BYRON
Last Name:BROOKS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 HICKORY GLEN LN
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8633
Mailing Address - Country:US
Mailing Address - Phone:919-215-1772
Mailing Address - Fax:
Practice Address - Street 1:307 S SALEM ST
Practice Address - Street 2:STE 100
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1845
Practice Address - Country:US
Practice Address - Phone:919-215-7455
Practice Address - Fax:919-724-4094
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC177101YA0400X
NCS3173101YM0800X
NC3173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional