MEDICARE: JANELL H BROOKS PHD

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1316509136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANELL H BROOKS PHD

Provider Business Mailing Address
First Line	:	498 EMERALD TRCE
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-4259
Country	:	US
Telephone Number	:	770-742-8642
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 N DRUID HILLS RD NE STE 132
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3118
Country	:	US
Telephone Number	:	770-742-8642
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JANELL HARGROVE
Credential	:	PHD
Telephone Number	:	678-457-3728

Provider Enumeration Date	:	07/01/2019
Last Update Date	:	02/10/2026

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