Brock, Carley Michelle

Brock, Carley Michelle is an individual health care provider with primary practice located at 1632 1St Ave # 20163 , New York NY 10028-4305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Health Educator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Brock, Carley Michelle can be contacted via phone (850) 832-1299.

Contact Information

Primary practice address
1632 1St Ave # 20163 New York NY 10028-4305
Phone: (850) 832-1299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2417 Virginia
Other Service Providers / Health Educator 174H00000X 37710

Profile Details

NPI number 1093271876
LBN Legal business name Brock, Carley Michelle
Credentials CHES, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2019
Last updated Jun 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers