MEDICARE: LATOYA BROOKS-KEY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1003403668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATOYA BROOKS-KEY, LLC

Provider Business Mailing Address
First Line	:	9600 TWO NOTCH RD STE 5
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1612
Country	:	US
Telephone Number	:	803-939-6680
Fax Number	:

Provider Business Practice Location Address
First Line	:	9600 TWO NOTCH RD STE 5
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1612
Country	:	US
Telephone Number	:	803-939-6680
Fax Number	:

Authorized Official
Title or Position	:	CEO/LICENSED CLINICAL SOCIAL WORKER
Name	:	DR. LATOYA BROOKS-KEY
Credential	:	PHD, LCSW, LCSW-CP
Telephone Number	:	803-939-6680

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	09/17/2024

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