Brooks, Sandra
Brooks, Sandra is an individual health care provider with primary practice located at 4211 Walney Rd , Chantilly VA 20151-2923. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Brooks, Sandra can be contacted via phone (703) 227-7100.Contact Information
Primary practice address
4211 Walney Rd
Chantilly VA 20151-2923
Phone: (703) 227-7100
Fax: (703) 322-1631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0718000494 | Virginia |
Profile Details
| NPI number | 1629667159 |
|---|---|
| LBN Legal business name | Brooks, Sandra |
| Credentials | LSATP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2021 |
| Last updated | Aug 25th, 2023 - about 3 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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