National Provider Identifier

Ivory Brooks

Ivory Brooks is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 896-7350.

NPI 1598112757Buffalo, NYMental Health Counselor

Profile Overview

NPI
1598112757
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 18, 2016
Last Updated
May 18, 2016

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212-1501

Phone: (716) 896-7350

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1598112757
Entity Type
Individual
Last Name
Brooks
First Name
Ivory
Mailing Street Address
1131 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1501
Mailing Country
US
Mailing Phone
(716) 896-7350
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1501
Practice Country
US
Practice Phone
(716) 896-7350
Enumeration Date
May 18, 2016
Last Updated
May 18, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)