Healthcare Provider Details

I. General information

NPI: 1477139251
Provider Name (Legal Business Name): BROOKLYN HARRINGTON M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 NOBLE ST STE 3F
ANNISTON AL
36201-4678
US

IV. Provider business mailing address

1302 NOBLE ST STE 3F
ANNISTON AL
36201-4678
US

V. Phone/Fax

Practice location:
  • Phone: 256-225-6418
  • Fax: 256-223-9636
Mailing address:
  • Phone: 256-225-6418
  • Fax: 256-223-9636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC3593A
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: