Provider Demographics
NPI:1316796758
Name:RIVERO SANCHEZ, BROOKLYN TAYLOR (LCMHCA)
Entity type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:TAYLOR
Last Name:RIVERO SANCHEZ
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 SPAULDING RD STE B
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5212
Mailing Address - Country:US
Mailing Address - Phone:828-460-6861
Mailing Address - Fax:
Practice Address - Street 1:486 SPAULDING RD STE B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5212
Practice Address - Country:US
Practice Address - Phone:828-652-2919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health