WALTER BROOKS PHD LPC NPI 1669745675

NPI Information

NPI: 1669745675
Provider Name: WALTER BROOKS, PHD, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
159 FORSYTH ST SW
ATLANTA, GA
ZIP 30303
Phone: (404) 523-4599
Get Directions

Walter Brooks, PHD, LPC is a professional counselor in Atlanta, GA. Walter Brooks, PHD, LPC NPI is 1669745675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

159 FORSYTH ST SW
ATLANTA, GA
ZIP 30303-634
Phone: (404) 523-4599
Fax: (404) 586-0645

The NPI 1669745675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/22/2012 and was last updated on 5/29/2023.

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	103TC1900X	Psychologist	Counseling	1091587	GEORGIA	No
2	103TH0100X	Psychologist	Health Service	LPC003956	GEORGIA	No
3	101YP2500X	Counselor	Professional	LPC003956	GEORGIA	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	LPC003956	OTHER	GEORGIA	LICENSE PROFESSIONAL COUNSELING
2	033128490	OTHER	GEORGIA	DRIVERS LICENSE
3	1091587	OTHER	GEORGIA	PHD HUMAN SERVICES PROFESSIONAL COUNSELING SPECIALIZATION

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: 4/28/2024

NPI Synchronization or Removal

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