Brookside Counseling SRVS, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082501 Issued in MI

Legal business name

BROOKSIDE COUNSELING SRVS, LLC

Practice address

15565 Northland Dr
Ste. 812E
Southfield, MI 48075

Phone

(248) 552-1030

Fax

(248) 552-3041

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. D'Anne Lovene Franklin, MSW

Title

Director

Phone

(248) 552-1030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447213376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR",
            "address_2": "STE. 812E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-1030",
            "fax_number": "248-552-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR",
            "address_2": "STE. 812E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-1030",
            "fax_number": "248-552-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE COUNSELING SRVS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "D'ANNE",
        "authorized_official_middle_name": "LOVENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-552-1030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Lamar Brooks, LPC
• Jason Brooks
• Joshua Micah Brooks
• Lillian Brooks
• Sheba Gustova Brooks, LPN
• Ross Joseph Brothers, M.D.
• Avis Marie Broussard, D,D.S.
• Clarissa June Brower
• Madelyn Anne Brower
• Brandeline R Brown-Lobato, MSW, LCSW

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker 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.