Brooks, Alice

Brooks, Alice is an sole proprietor health care provider with primary practice located at 31 Ashford Dr , Avon CT 06001-4552. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brooks, Alice can be contacted via phone (860) 205-1829.

Contact Information

Primary practice address
31 Ashford Dr Avon CT 06001-4552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002890 Connecticut

Profile Details

NPI number 1386657740
LBN Legal business name Brooks, Alice
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Mar 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386657740 NPPES
Connecticut Other 079524 MHN PROVIDER NUMBER
Connecticut Other 140002890 CT01 MHN PROVIDER NUMBER
Connecticut Other P3203033 MHN PROVIDER NUMBER

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