Brooks, Phillip Jay

Brooks, Phillip Jay is an sole proprietor health care provider with primary practice located at 1750 17Th St Bldg J-2, Sarasota FL 34234-8632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Brooks, Phillip Jay can be contacted via phone (941) 552-2078.

Contact Information

Primary practice address
1750 17Th St Bldg J-2 Sarasota FL 34234-8632
Phone: (941) 552-2078
Fax: (941) 552-2079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH3098 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3098 Florida

Profile Details

NPI number 1093789836
LBN Legal business name Brooks, Phillip Jay
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Jan 11th, 2011 - about 13 years ago

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 1093789836 NPPES
Florida Other MH 3098 LICENSED MH COUNSELOR
Florida MEDICAID 764872300 LICENSED MH COUNSELOR

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