MEDICARE: MRS. STEPHANIE MARIE BROOKINS MS, NCC, LPC

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	101YP2500X	Professional Counselor	LPC004854	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114112513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE MARIE BROOKINS MS, NCC, LPC

Provider Business Mailing Address
First Line	:	4 BRADLEY PARK CT STE 1B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3636
Country	:	US
Telephone Number	:	706-322-7911
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 BRADLEY PARK CT STE 1B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3636
Country	:	US
Telephone Number	:	706-322-7911
Fax Number	:	706-324-2088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2007
Last Update Date	:	01/20/2026

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