Smith, Brooke Nicole

Smith, Brooke Nicole is an sole proprietor health care provider with primary practice located at 411 Court St , Portsmouth OH 45662-3932. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Smith, Brooke Nicole can be contacted via phone (740) 354-6685.

Contact Information

Primary practice address
411 Court St Portsmouth OH 45662-3932
Phone: (740) 354-6685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS
Other Service Providers / Case Manager/Care Coordinator 171M00000X CMS
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.172213 Ohio

Profile Details

NPI number 1881240513
LBN Legal business name Smith, Brooke Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2019
Last updated Dec 24th, 2019 - about 4 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 1881240513 NPPES
Ohio MEDICAID 0382207
Ohio MEDICAID 0365128

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