Brookys Haven

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101Y00000X Issued in LA

Legal business name

BROOKYS HAVEN

Practice address

217 Jones St
Shreveport, LA 71101-4021

Phone

(318) 423-1367

Fax

(318) 216-3380

NPI assigned

Jan 25, 2018

Organization subpart

Yes

Parent organization

BROOKYS HAVENAs reported in NPPES

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

Authorized official

Name

Diane Williams

Title

Owner

Phone

(318) 423-1367

Specialties & licenses 5

Addresses

Other names 1

• Brookys Haven Doing business as

Part of

Brookys Haven

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brookys Haven

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1104303411
  NPPES parent name

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1790283638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JONES ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014021",
            "telephone_number": "318-423-1367",
            "fax_number": "318-216-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 JONES ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014021",
            "telephone_number": "318-423-1367",
            "fax_number": "318-216-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKYS HAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKYS HAVEN",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-423-1367"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "LA",
            "license": "101Y00000X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "101Y00000X",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "101YM0800X",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "101YM0800X",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "103TH0004X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookys Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookshire Grocery Company
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• Brookshires Grocery Company
• Brookys Haven
• Kieron Renard Broomsey, LCM
• Jasmine Marie Brossett
• Andrew Joseph Brouillette, DDS
• Bruce P. Brouillette, MD
• Rose Marie Brouillette, M.D.

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.