Provider Demographics
NPI:1841938206
Name:ZAROTNY, BROOKE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:ZAROTNY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10968 SMITHS GROVE SCOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:KY
Mailing Address - Zip Code:42159-9768
Mailing Address - Country:US
Mailing Address - Phone:727-282-7695
Mailing Address - Fax:
Practice Address - Street 1:351 PASCOE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-6302
Practice Address - Country:US
Practice Address - Phone:270-904-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY295035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY277961Medicaid