Individual provider · NPI-1

Lakita Brooks, MS, PHNP-BC

Nurse Practitioner, Psych/Mental Health · Ann Arbor, MI

NPI number1972224046
StatusActive
Last updated in NPPESOct 11, 2023

Details

NPI
1972224046
Entity type
Individual (NPI-1)
Name
Lakita Brooks
Credential
MS, PHNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2022
Certification date
Oct 11, 2023
Last updated
Oct 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health4704294284MIYes
163WP0809X Registered Nurse, Psych/Mental Health, Adult4704294284MI

Practice location

501 N Maple Rd
Ann Arbor, MI 48103-2827

Phone 800-395-3223 · Fax 248-620-6405

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Phone 800-395-3223 · Fax 248-620-6405

Other practice locations

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

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