MEDICARE: DR. JOYCE M. BROOKS ED.D

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	101Y00000X	Counselor		NV

General Provider Information

NPI Number	:	1164765525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE M. BROOKS ED.D

Provider Business Mailing Address
First Line	:	6420 BIRDCALL ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2846
Country	:	US
Telephone Number	:	702-743-1999
Fax Number	:	702-799-7460

Provider Business Practice Location Address
First Line	:	1555 E FLAMINGO RD
Second Line	:	#158
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5258
Country	:	US
Telephone Number	:	702-385-9097
Fax Number	:	702-750-2147

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

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	04/03/2013

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