| Doctor Name: | JANE SMITH BROOKS |
| NPI Number: | 1093964033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH 5466 |
| Business Practice Address: | 7074 Grove Rd Brooksville, FL - 346098658 |
| Business Phone Number: | 3525409335 |
| Business Fax Number: | 3525440722 |
| Mailing Address: | Po Box 428, NEW PORT RICHEY |
| State: | FL |
| Postal Code: | 346560428 |
| Phone Number: | 7278414200 |
| Fax Number: | 7278414354 |
| NPI Enumeration Date: | 09/15/2008 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 5466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |