Brookside Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801073653 Issued in MI

Legal business name

BROOKSIDE SERVICES, PLLC

Practice address

55 E Iroquois Rd
Pontiac, MI 48341-2016

Phone

(248) 390-5919

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Brenda Joyce Washington, LMSWNPI 1841338373

Title

President

Phone

(248) 390-5919

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Joyce Washington, LMSW

  • Clinical Social Worker
  • Pontiac, MI
  • NPI 1841338373
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013056563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430355",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430355",
            "telephone_number": "248-390-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E IROQUOIS RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412016",
            "telephone_number": "248-390-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-390-5919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801073653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN OF SOLE PROPRIETOR",
            "identifier": "$$$$$$$$$",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CLINICAL LICENSE",
            "identifier": "6801073653",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirby E Brash, BS
• Brenda Bravo-Valiente
• Assalah Brikho, M.D.
• Cathleen Brooks, RN
• Leatha Brooks, CRNA
• Heather Julia Joyce Brosnan Rodhouse
• Constance Brown, LBSW
• Ebony Brown
• Kaneisha Brown, LLPC, NCC
• Leith Isaac Brown, D.O.

• Mental Health Counselor in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.