Glenda Dianne Brooks
Individual provider Active NPI Professional Counselor · Destin, FL
NPI 1417528522 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1417528522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PCO11686 (PA)
- Practice address
- 916 Bambi Dr
Destin, FL 32541-1833 - Phone
- (850) 685-0668
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PCO11686 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | PCO11686 | PA | Yes |
Addresses
Primary practice location
916 Bambi Dr
Destin, FL 32541-1833
Mailing address
9420 Carlisle Rd
Dillsburg, PA 17019-9639
Phone (717) 608-0678
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BetterHelp.com | Direct | |
| CONNECT URL | BetterHelp.com | Direct |
Other providers in Destin, FL
- Callee Ann Breland
- Bridge Mountain Emergency Physicians LLC
- Brilliant Minds
- Brookdale Destin
- Randell Rudell Brooke
- Linda G Buckland
- Brooke Budney
- Samuel A Budnyk
- Brett Buehner
- Kellee Buehner
All providers in Destin, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2021. 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.