Individual provider · NPI-1
Heather Kinney Brooks, LMSW
Social Worker · Harvey, LA
NPI number1174053995
StatusActive
Last updated in NPPESFeb 7, 2021
Details
- NPI
- 1174053995
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Kinney Brooks
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2017
- Certification date
- Feb 7, 2021
- Last updated
- Feb 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 11193 | LA | Yes |
Practice location
4103 Lac Couture DrHarvey, LA 70058
Phone 504-368-9935 · Fax 504-368-9918
Mailing address
4103 Lac Couture DrHarvey, LA 70058
Phone 504-368-9935 · Fax 504-368-9918
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