Brooks, Kyshia

Brooks, Kyshia is an sole proprietor health care provider with primary practice located at 4500 Hugh Howell Rd Ste 430 , Tucker GA 30084-4722. 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, Kyshia can be contacted via phone (470) 668-9295.

Contact Information

Primary practice address
4500 Hugh Howell Rd Ste 430 Tucker GA 30084-4722
Phone: (470) 668-9295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2499-A North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043554454
LBN Legal business name Brooks, Kyshia
Credentials LCAS/OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2012
Last updated Jul 23rd, 2021 - about 5 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 1043554454 NPPES
North Carolina MEDICAID 6008513

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