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Jeanne D Brooks

Counselor

Behavioral Health & Social Service Providers

2811 Linkhorne Dr Ste D, Lynchburg, VA 24503-3353

PECOS Enrollment

Based on the most recent information from CMS, provider Jeanne D Brooks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1558475707
Provider Type
Individual
Full Name
Brooks, Jeanne D
Title
Ms.
Credential
PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2006
Last Updated
3/5/2023

Contact Information

Practice Location

2811 Linkhorne Dr Ste D, Lynchburg, VA 24503-3353

(434) 582-9061

(434) 616-3115

Mailing Location

2811 Linkhorne Dr Ste D, Lynchburg, VA 24503-3353

(434) 582-9061

(434) 616-3115

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701004497 Virginia
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 5153 Texas
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 13557 Texas

Jeanne D Brooks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Maloy, Joy Bernhart

Sullivan, Daniel J.

Stone, Melisa M.

Demato, Doris

Wright, Jason

Eager, Benjamin

Johnston, Amanda Rose

Cassada, Nina D

Weatherholtz, Jacob

Smith, Robert