MEDICARE: BROOKE G DOOLEY LPC

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	4590	SC

General Provider Information

NPI Number	:	1417916248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE G DOOLEY LPC

Provider Business Mailing Address
First Line	:	30 29TH AVE
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451-2417
Country	:	US
Telephone Number	:	843-270-8024
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 PALM BLVD STE 2A
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451-2165
Country	:	US
Telephone Number	:	843-270-8024
Fax Number	:

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	09/05/2025

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Directions to “ BROOKE G DOOLEY LPC” Practice Location

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