Provider Demographics
NPI:1588076251
Name:BROOKS, VIKKE ROCHELL
Entity type:Individual
Prefix:MS
First Name:VIKKE
Middle Name:ROCHELL
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:VIKKE
Other - Middle Name:ROCHELL
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:4938 PALMBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-7535
Mailing Address - Country:US
Mailing Address - Phone:954-242-4988
Mailing Address - Fax:
Practice Address - Street 1:4938 PALMBROOKE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-7535
Practice Address - Country:US
Practice Address - Phone:954-242-4988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4280106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist