Healthcare Provider Details

I. General information

NPI: 1548912850
Provider Name (Legal Business Name): BROOKLYN NOEL SYMES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 GREEN RD STE 160
ANN ARBOR MI
48105-1572
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 517-492-0784
  • Fax: 248-671-0922
Mailing address:
  • Phone: 517-492-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401223792
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: