Provider Demographics
NPI:1225849276
Name:BROOKS COUNSELING SERVICES
Entity type:Organization
Organization Name:BROOKS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROOKS-HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:925-989-7631
Mailing Address - Street 1:2040 EASTERN AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4211
Mailing Address - Country:US
Mailing Address - Phone:925-989-7631
Mailing Address - Fax:
Practice Address - Street 1:2040 EASTERN AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4211
Practice Address - Country:US
Practice Address - Phone:925-989-7631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)