Marcus Montrell Brooks, LMFT
Individual provider Active NPI Marriage & Family Therapist · Smithfield, VA
NPI 1619659331 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1619659331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717002028 (VA)
- Practice address
- 202 Winterberry LN
Smithfield, VA 23430-5640 - Phone
- (434) 229-0130
- NPI assigned
- Aug 2, 2023
- Sex
- Male
- 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 |
|---|---|---|---|
| 0717002028 | VA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717002028 | VA | Yes |
Addresses
Primary practice location
202 Winterberry LN
Smithfield, VA 23430-5640
Mailing address
202 Winterberry LN
Smithfield, VA 23430-5640
Phone (434) 229-0130
Other providers in Smithfield, VA
- Victoria Lynn Miller Bikkers
- Shirl Boone
- Britney Bostick
- Beth Ann Brant
- Breakthrough Clinical Services LLC
- Jennifer W. Browder
- Andrea N Byers
- Sharon R Carney
- Joshua L Cartwright
- Gianina Chappell
All providers in Smithfield, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. 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.