Brooks, Mary Imani

Brooks, Mary Imani is an sole proprietor health care provider with primary practice located at 700 S Fairfield Dr , Peachtree City GA 30269. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brooks, Mary Imani can be contacted via phone (662) 341-2694.

Contact Information

Primary practice address
700 S Fairfield Dr Peachtree City GA 30269
Phone: (662) 341-2694
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05909900 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1800895-SUPV Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14189 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7400 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2144 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW006414 Georgia

Profile Details

NPI number 1346754215
LBN Legal business name Brooks, Mary Imani
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2017
Last updated Jul 22nd, 2020 - about 6 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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