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Brooklyn Lane
Mental Health Counselor in Blakely, Georgia
NPI 1629833868

Brooklyn Lane is a Mental Health Counselor based in Albany, GA and is specialized in Mental Health. Brooklyn Lane practices in Blakely, GA. The NPI Number for Brooklyn Lane is 1629833868 and holds a License No. APC009522 (Georgia).

The current practice location address for Brooklyn Lane is 763 Jesse Johnson Dr, Blakely, GA and can be reached out via phone at 229-724-2050.

Location: 763 Jesse Johnson Dr, Blakely, GA, 31702-1988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629833868
Provider Name
Brooklyn Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
763 Jesse Johnson Dr, Blakely, GA, 31702-1988
Phone Number
229-724-2050
Fax Number
Provider Enumeration Date
02/16/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
763 Jesse Johnson Dr
City
Blakely
State
Georgia
Zip
39823-3224
Phone Number
229-724-2050
Fax Number
person
Provider Business Mailing Address Details
Address
763 Jesse Johnson Dr
City
Blakely
State
Georgia
Zip
39823-3224
Phone Number
229-724-2050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
APC009522 (Georgia)
Definition
Definition to come...
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