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General NPI Number Information
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NPI Number | 1578499851
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Entity Type | Organization
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Legal Business Name | BROOKE'S HOUSE, INC.
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 17670 TECHNOLOGY BLVD
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City | HAGERSTOWN
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State | MD
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Zip | 21740-2074
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Country | US
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Telephone | 443-987-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 17670 TECHNOLOGY BLVD
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City | HAGERSTOWN
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State | MD
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Zip | 21740-2074
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Country | US
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Telephone | 240-267-2230
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MINDY L JENKINS
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Credential |
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Telephone | 240-267-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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