Brooklyn Lane
Brooklyn Lane is a Mental Health Counselor in Blakely, Georgia. Qualified in 2023, 3 years ago. Licensed in Georgia.
- Years since qualifying
- 3
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
763 Jesse Johnson DrBlakely, GA 39823-3224
Phone: (229) 724-2050
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence APC009522 (GA) |
|---|
Record details
| NPI number | 1629833868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2024 |
| Last updated in NPPES | February 16, 2024 |
| Certification date | February 16, 2024 |
| Mailing address | Po Box 1988, Albany, GA 31702-1988 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Blakely
-
Tenica Lashay Williams, LPC
723 Jesse Johnson St, Blakely, GA 39823 · (229) 430-5100