MEDICARE: DR. ASHLEY BROOKS PHD, LPC-S, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2807	LA
2	101YP2500X	Professional Counselor	LPC# 2807, MFT998	LA

General Provider Information

NPI Number	:	1043615537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY BROOKS PHD, LPC-S, LMFT

Provider Business Mailing Address
First Line	:	3300 CANAL ST
Second Line	:	SUITE 120
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6206
Country	:	US
Telephone Number	:	504-913-5039
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 CANAL ST
Second Line	:	SUITE 120
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6206
Country	:	US
Telephone Number	:	504-913-5039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	01/19/2022

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