BROOKS BEHAVIORAL LLC (NPI# 1912548991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912548991 |
| Entity Type | Organization |
| Organization Name | BROOKS BEHAVIORAL LLC |
| Practice Address |
520 Sw Atlas Dr Fort White FL 32038-2430 |
| Practice Telephone | 3524979719 |
| Mailing Telephone | 3524979719 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | AMANDA BROOKS (CEO/OWNER) |
| Authorized Official Telephone | 3523395848 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
520 SW ATLAS DR |
| City | FORT WHITE |
| State | FL |
| Zip Code | 32038-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306139761 | Amanda Kay Brooks | Counselor | 520 Sw Atlas Dr, Fort White, FL 32038 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528566353 | Jessica Land | Counselor | 653 Sw Choctaw Ave, Fort White, FL 32038 | 2018-01-26 |
| 1487015467 | Dianne Marroletti | Registered Nurse | 342 Sw Logston Court, Fort White, FL 32038 | 2016-03-17 |
| 1407220338 | Sorensen & Smith LLC | Assisted Living Facility | 6873 Sw Us Hwy 27, Fort White, FL 32038 | 2015-11-16 |
| 1306253372 | Caitlyn Richter | Specialist/Technologist | 17828 Sw State Rd, Fort White, FL 32038 | 2014-07-22 |
| 1497941165 | Kathleen Marshall | Pharmacist | 7729 Sw Us Hwy 27, Fort White, FL 32038 | 2007-09-17 |
| 1972873537 | Andrea H. Alfonzo | Occupational Therapist | 422 Sw Magnolia Ln, Fort White, FL 32038-2124 | 2012-01-12 |
| 1548298706 | Maryann Smith | Advanced Practice Midwife | 1117 Sw Rum Island Ter, Fort White, FL 32038-2332 | 2006-06-28 |
| 1780608778 | Lee L Gibson | Emergency Medicine | 190 Sw Natures Ct, Fort White, FL 32038-2357 | 2006-07-26 |
| 1366648420 | Marion M Landua-figueroa | Technician | 374 Sw Princeton Ct, Fort White, FL 32038-2628 | 2007-06-25 |
| 1215586110 | Susan Virginia Koontz | Pharmacist | 152 Sw Sierra Ct, Fort White, FL 32038-2772 | 2019-09-04 |
| Find all providers in zip 32038 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT WHITE |
| Zip Code | 32038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.