MEDICARE: MRS. SHERRI MICHELLE BROOKE 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	2002002441	MO

General Provider Information

NPI Number	:	1801019427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRI MICHELLE BROOKE LPC

Provider Business Mailing Address
First Line	:	7112 MICHAEL LN
Second Line	:
City	:	PLEASANT VALLEY
State	:	MO
Zip	:	64068-8614
Country	:	US
Telephone Number	:	816-500-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 NW TIFFANY SPRINGS PKWY STE 320
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1387
Country	:	US
Telephone Number	:	816-500-1355
Fax Number	:	816-569-6797

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	11/17/2023

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