Provider Demographics
NPI:1104115757
Name:BROOKSTONE COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:BROOKSTONE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:615-426-7308
Mailing Address - Street 1:313 E MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3898
Mailing Address - Country:US
Mailing Address - Phone:615-824-2256
Mailing Address - Fax:615-643-8837
Practice Address - Street 1:313 E MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3898
Practice Address - Country:US
Practice Address - Phone:615-824-2256
Practice Address - Fax:615-643-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN811106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty