Sara Jade Brooks, LPAT
Counselor, Mental Health in Louisville, KY. Individual provider (NPI-1).
NPI number1164096624
StatusActive
Last updated in NPPESMay 18, 2021
Details
- NPI
- 1164096624
- Entity type
- Individual (NPI-1)
- Name
- Sara Jade Brooks
- Credential
- LPAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2021
- Certification date
- Apr 23, 2021
- Last updated
- May 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 269532 | KY | Yes |
Practice location
2823 Frankfort AveLouisville, KY 40206-2639
Phone 502-893-0241
Mailing address
2823 Franfort AvenueLouisville, KY 40206
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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