Brooks, Walter
Brooks, Walter is an sole proprietor health care provider with primary practice located at 159 Forsyth St Sw , Atlanta GA 30303-3634. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Brooks, Walter can be contacted via phone (404) 523-4599.Contact Information
Primary practice address
159 Forsyth St Sw
Atlanta GA 30303-3634
Phone: (404) 523-4599
Fax: (404) 586-0645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1091587 | Georgia |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | LPC003956 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003956 | Georgia |
Profile Details
| NPI number | 1669745675 |
|---|---|
| LBN Legal business name | Brooks, Walter |
| Credentials | PHD, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2012 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669745675 | NPPES |
| Georgia | Other | LPC003956 | LICENSE PROFESSIONAL COUNSELING |
| Georgia | Other | 033128490 | LICENSE PROFESSIONAL COUNSELING |
| Georgia | Other | 1091587 | LICENSE PROFESSIONAL COUNSELING |
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