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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093789836 | NPPES |
Florida | Other | MH 3098 | LICENSED MH COUNSELOR |
Florida | MEDICAID | 764872300 | LICENSED MH COUNSELOR |
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