| Joel Brooks Counseling, Inc | |
|
3500 E Fletcher Ave Suite 129 Tampa FL 33613-4708 | |
| (813) 978-3960 | |
| Not Available |
| Full Name | Joel Brooks Counseling, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3500 E Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Joel S Brooks (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8139783960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Brooks Counseling, Inc 6237 Eaglebrook Ave Tampa FL 33625-1518 Ph: (813) 978-3960 | Joel Brooks Counseling, Inc 3500 E Fletcher Ave Suite 129 Tampa FL 33613-4708 Ph: (813) 978-3960 |
| NPI Number | 1235428236 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Medicare PECOS PAC ID | 6608046669 |
|---|---|
| Medicare Enrollment ID | O20110830000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235428236 | NPI | - | NPPES |
| 768684600 | Medicaid | FL | |
| 1477627859 | Other | FL | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joel S Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477627859 PECOS PAC ID: 9739160185 Enrollment ID: I20040601000396 |
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