JENNY VAN OVERBEKE BROOKS, PH.D., P.C. - NPI 1407003536 - Community/Behavioral Health in Smyrna, GA

Q: What is Jenny Van Overbeke Brooks, Ph.D., P.C.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Jenny Van Overbeke Brooks, Ph.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY VAN OVERBEKE BROOKS, PH.D., P.C. (NPI 1407003536) is a healthcare organization registered as a community/behavioral health in Smyrna, Georgia and active in the NPI registry since August 2008. The organization maintains a secondary practice location in Atlanta and lists Jenny Van Overbeke Brooks, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1407003536

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJENNY VAN OVERBEKE BROOKS, PH.D., P.C.

Location Address4045 ORCHARD RD SE STE 110Smyrna, GA 30080-4904

Mailing Address4045 Orchard Rd Se Ste 110Smyrna, GA 30080-4904 · (770) 293-1950 · Fax (770) 293-1955

Phone(770) 293-1950

Fax(770) 293-1955

Organization SubpartNo

Authorized OfficialJenny Van Overbeke BrooksOwner/psychologist · (770) 293-1950

Enumeration DateAugust 20, 2008

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1407003536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in GA · PSY003048

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4045 ORCHARD RD SE STE 110, Smyrna, GA 30080

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Secondary Practice Location 1

Location 12308 Perimeter Park Dr, Suite 100Atlanta, GA 30341-1316 · Phone (770) 457-5577 · Fax (770) 457-5599

Other Identifiers 1

Medicaid722100907AGA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY MARGARET TARDY

Counselor (Mental Health)