Brooke Christian Harris, LPC
Individual provider Active NPI Professional Counselor · Hoschton, GA
NPI 1336745165 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1336745165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC011780 (GA)
- Practice address
- 4073 Highway 53
Hoschton, GA 30548-2305 - Phone
- (770) 882-5884
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011780 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Psychological Services LLC | Current |
Accepting new patients |
Locations
4073 Highway 53
Hoschton, GA 30548
Phone (770) 882-5884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011780 | GA | Yes |
Addresses
Primary practice location
4073 Highway 53
Hoschton, GA 30548-2305
Mailing address
4073 Highway 53
Hoschton, GA 30548-2305
Phone (770) 882-5884
Other providers in Hoschton, GA
- Guardian Angels Private Home Care Services LLC
- William Guest
- Jordan Gulbranson
- Deborah Gunnin
- Whitney Nicole Hall
- Jessica McKenzie Harrison
- Joseph Kyle Hatley
- Healios Medical Solutions LLC
- Health & Wellness Resource Center Corporation
- Heavenly Touch Health Care, LLC
All providers in Hoschton, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.