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BROOKE CAMDEN WIDDER LPC
NPI 1790354041
Counselor - Mental Health in Roswell, GA

Active since June 22, 2021
2002 MACY DR, ROSWELL, GA 30076(770) 765-5965 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Jun 22, 2021 (2 updates tracked since 2021).

About Brooke Camden Widder Lpc NPPES

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

BROOKE CAMDEN WIDDER LPC (NPI 1790354041) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (012114) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1790354041
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBROOKE CAMDEN WIDDERCredential: LPC
Location Address2002 MACY DRRoswell, GA 30076-6346
Mailing Address880 Marietta Hwy Ste 630-245Roswell, GA 30075-6755 · (770) 765-5965
Phone(770) 765-5965
Sole ProprietorYes
Enumeration DateJune 22, 2021
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1790354041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 012114
2002 MACY DR, Roswell, GA 30076
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Other Providers at the Same Location NPPES 10

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

MRS. ELEECIA JUANITA MYERS MA
Counselor (Mental Health)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (678) 400-9477
SHARON PETERSON LCSW
Social Worker (Clinical)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (410) 440-3074
EMOTIONAL WELLNESS OF ROSWELL
Social Worker (Clinical)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (410) 440-3074
PATRICE MARIE PAYMENT LPC
Counselor (Professional)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (404) 593-3322
MALLORY A CALLANS
Counselor (Mental Health)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (678) 400-9477
D'ANNA MARIE KESTER MSW
Counselor (Mental Health)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (678) 400-9477
REAGAN LEWSADDER
Social Worker (Clinical)
2002 MACY DR
ROSWELL, GA 30076
Fulton County (678) 400-9477
NICOLE DEL VECCHIO
Marriage & Family Therapist
2002 MACY DR
ROSWELL, GA 30076
Fulton County (678) 400-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Widder's NPI number?

The NPI number for Brooke Widder is 1790354041. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Brooke Widder located?

Brooke Widder practices at 2002 Macy Dr, Roswell, GA 30076. The listed phone number is (770) 765-5965.

What is Brooke Widder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brooke Widder was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.