| Doctor Name: | PHYLLIS BROOKS |
| NPI Number: | 1043374788 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW LIC 1043921 |
| License Number: | LICSW 104392-1 |
| Business Practice Address: | 225 Main Street Wenham, MA - 01984 |
| Business Phone Number: | 9784680005 |
| Business Fax Number: | 9787749218 |
| Mailing Address: | Envision Health And Healing, 225 Main Street WENHAM |
| State: | MA |
| Postal Code: | 01984 |
| Phone Number: | 9784680005 |
| Fax Number: | 9787749218 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LICSW 104392-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |