MS. TARA ANNETTE BROOKS LPC NPI 1245472182

NPI Information

NPI: 1245472182
Provider Name: MS. TARA ANNETTE BROOKS, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
720 14TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 423-0203
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MS. Tara Annette Brooks, LPC is a counselor in Longview, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Tara Annette Brooks, LPC NPI is 1245472182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 14TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 423-0203
Fax: (360) 577-0187

The enumeration date for this NPI number is 3/24/2009 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C4119	OREGON	No
2	101Y00000X	Counselor		CG61222438	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500707358	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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