Brooks, Jane Smith

Brooks, Jane Smith is an individual health care provider with primary practice located at 7074 Grove Rd , Brooksville FL 34609-8658. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brooks, Jane Smith can be contacted via phone (352) 540-9335.

Contact Information

Primary practice address
7074 Grove Rd Brooksville FL 34609-8658
Phone: (352) 540-9335
Fax: (352) 544-0722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 5466 Florida

Profile Details

NPI number 1093964033
LBN Legal business name Brooks, Jane Smith
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Sep 15th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093964033 NPPES
Florida MEDICAID 763100600
Florida MEDICAID 767408200

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