Healthcare Provider Details

I. General information

NPI: 1255574802
Provider Name (Legal Business Name): BROOKE A SOMMERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BROOKE A ROSEN

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 TENNYSON ST
DENVER CO
80212-3029
US

IV. Provider business mailing address

2950 TENNYSON ST
DENVER CO
80212-3029
US

V. Phone/Fax

Practice location:
  • Phone: 720-855-3228
  • Fax: 303-433-9701
Mailing address:
  • Phone: 720-855-3228
  • Fax: 303-433-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: