Koontz, Brooke
Koontz, Brooke is an sole proprietor health care provider with primary practice located at 3816 Calliope Ave , Port Orange FL 32129-6024. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koontz, Brooke can be contacted via phone (814) 442-8775.Contact Information
Primary practice address
3816 Calliope Ave
Port Orange FL 32129-6024
Phone: (814) 442-8775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1275198822 |
|---|---|
| LBN Legal business name | Koontz, Brooke |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2019 |
| Last updated | May 8th, 2019 - about 7 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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