MEDICARE: BROOKE JUSTIS COUNSELING, 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	:	1396540589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKE JUSTIS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	4037 MAGNOLIA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3913
Country	:	US
Telephone Number	:	314-640-6068
Fax Number	:

Provider Business Practice Location Address
First Line	:	4037 MAGNOLIA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3913
Country	:	US
Telephone Number	:	314-640-6068
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BROOKE JUSTIS
Credential	:	LCSW
Telephone Number	:	314-640-6068

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

Similar Medicare Providers

1528261377 — BARBARA JEAN ROBINSON LCSW
Practice Location Address:

9129 BOYCE PL
SAINT LOUIS, MO
63136-3913

Practice Phone: 314-867-2709
Practice Fax: 314-869-4554

1255620340 — BLACKMUN FOOTCARE LLC
Practice Location Address:

2608 N 14TH ST
SAINT LOUIS, MO
63106-3913

Practice Phone: 314-932-1570
Practice Fax:

1588016562 — ABC COUNSELING SERVICES
Practice Location Address:

2614 N 14TH ST
SAINT LOUIS, MO
63106-3913

Practice Phone: 314-570-5553
Practice Fax:

1780539791 — SOHO VASCULAR SURGERY PC
Practice Location Address:

41 STILLWATER RD
SAINT JAMES, NY
11780-3913

Practice Phone: 646-872-6387
Practice Fax:

1770712028 — DR. MALLORY ERIN RANEM D.C.
Practice Location Address:

1926 MINNEHAHA AVE E
SAINT PAUL, MN
55119-3913

Practice Phone: 651-303-8768
Practice Fax:

1073938130 — DOMINIQUE JACOBS
Practice Location Address:

200 SAINT CHARLES PL
SAINT MARYS, GA
31558-3913

Practice Phone: 912-439-0207
Practice Fax:

Directions to “BROOKE JUSTIS COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.