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Amanda Lassie-rose Brooks
Mental Health Counselor in Sparta, Tennessee
NPI 1255983763

Amanda Lassie-rose Brooks is a Mental Health Counselor based in Sparta, TN and is specialized in Mental Health. Amanda Lassie-rose Brooks practices in Sparta, TN. The NPI Number for Amanda Lassie-rose Brooks is 1255983763 and holds a License No. 5026 (Tennessee).

The current practice location address for Amanda Lassie-rose Brooks is 264 Judah Dr, Sparta, TN and can be reached out via phone at 931-319-0814.

Location: 264 Judah Dr, Sparta, TN, 38583-7126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255983763
Provider Name
Amanda Lassie-rose Brooks
Credential
Provider Entity Type
Individual
Gender
Female
Address
264 Judah Dr, Sparta, TN, 38583-7126
Phone Number
931-319-0814
Fax Number
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
264 Judah Dr
City
Sparta
State
Tennessee
Zip
38583-8710
Phone Number
931-319-0814
Fax Number
person
Provider Business Mailing Address Details
Address
264 Judah Dr
City
Sparta
State
Tennessee
Zip
38583-8710
Phone Number
931-319-0814
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5026 (Tennessee)
Definition
Definition to come...
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