Jenny Van Overbeke Brooks, Ph.D., P.C.

LBN: Jenny Van Overbeke Brooks, Ph.D., P.C.
Jenny Van Overbeke Brooks, Ph.D., P.C. is an health care organization with primary practice located at 4045 Orchard Rd Se Ste 110 , Smyrna GA 30080-4904. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jenny Van Overbeke Brooks, Ph.D., P.C. can be contacted via phone (770) 293-1950, or through Brooks, Jenny Van Overbeke via phone (770) 293-1950.

Contact Information

Primary practice address
4045 Orchard Rd Se Ste 110 Smyrna GA 30080-4904
Fax: (770) 293-1955
Website:
Authorized official contact:
Name: Brooks, Jenny Van Overbeke PH.D.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X PSY003048 Georgia

Profile Details

NPI number 1407003536
LBN Legal business name Jenny Van Overbeke Brooks, Ph.D., P.C.
DBA Doing business as
Authorized official Brooks, Jenny Van Overbeke PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2008
Last updated Jan 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407003536 NPPES
Georgia MEDICAID 722100907A

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