Lyb Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LYB COUNSELING SERVICES

Practice address

613 Russell Pkwy Ste D
Warner Robins, GA 31088-7644

Phone

(478) 220-9865

Fax

(478) 202-7491

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Lakisha Yvette Brooks, LCSWNPI 1659480168

Title

Owner/Provider

Phone

(240) 603-3837

Specialties & licenses 1

Addresses

Other names 1

• LaKisha Y. Brooks, LCSW Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Lakisha Yvette Brooks, LCSW

  • Clinical Social Worker
  • Warner Robins, GA
  • NPI 1659480168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1407482284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412A RUSSELL PKWY # 219",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RUSSELL PKWY STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887644",
            "telephone_number": "478-220-9865",
            "fax_number": "478-202-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYB COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "240-603-3837",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaKisha Y. Brooks, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tilwanja Lucas
• Donna L Luce, LPN
• Brian J. Ludwig, M.D.
• Jason Scott Lunsford, PA-C
• Timothy Ray Luschen, PA
• Kelsey Trachell Lyle, RN
• Jessica Lynch, PTA
• Lyons Center LLC
• M Gary Carter, MD PA
• M. Gary Carter,M.D.

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.