Healthcare Provider Details

I. General information

NPI: 1033053442
Provider Name (Legal Business Name): ANISLEY GARCIA BROOKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 W 16TH AVE STE 405
HIALEAH FL
33012-7803
US

IV. Provider business mailing address

8916 NW 120TH ST
HIALEAH GARDENS FL
33018-4165
US

V. Phone/Fax

Practice location:
  • Phone: 786-233-6721
  • Fax: 786-703-5179
Mailing address:
  • Phone: 786-667-9843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26205
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW26205
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: