Healthcare Provider Details

I. General information

NPI: 1659241883
Provider Name (Legal Business Name): BROOKS CREATIVE ARTS THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BROADWAY STE 533
NEW YORK NY
10004-1779
US

IV. Provider business mailing address

11 BROADWAY STE 533
NEW YORK NY
10004-1779
US

V. Phone/Fax

Practice location:
  • Phone: 954-804-3248
  • Fax:
Mailing address:
  • Phone: 917-727-6873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL JAYE BROOKS
Title or Position: FOUNDER AND CREATIVE ARTS THERPAPIS
Credential: LCAT, RDT
Phone: 954-804-3248