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NPI Code Detail

MEDICARE: BROOKE MARIE MOWERY

MEDICARE: BROOKE MARIE MOWERY
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
1171M00000XCase Manager/Care Coordinator
2101Y00000XCounselorC.2507242-TRNEOH

General Provider Information

NPI Number : 1609750850
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE MARIE MOWERY
Provider Business Mailing Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 234-254-5656
Fax Number : 234-254-5655
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 234-254-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 01/05/2026

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