Brooks, Tyneshia A
Brooks, Tyneshia A is an individual health care provider with primary practice located at 913 Crescent Falls St , Henderson NV 89011-2516. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Other Service Providers / Community Health Worker is her primary health care specialty. Brooks, Tyneshia A can be contacted via phone (702) 498-1743.Contact Information
Primary practice address
913 Crescent Falls St
Henderson NV 89011-2516
Phone: (702) 498-1743
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | CP0280 | Nevada |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CP0280 | Nevada |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CP0280 | Nevada |
Profile Details
NPI number | 1679838635 |
---|---|
LBN Legal business name | Brooks, Tyneshia A |
Credentials | M.S. CPCI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2012 |
Last updated | Jul 13th, 2018 - about 6 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 | 1679838635 | NPPES |
Nevada | MEDICAID | 1427386267 |
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