Provider Demographics
NPI:1912589052
Name:BROOKS, MONICA (MS, CIT)
Entity type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MS, CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-4802
Mailing Address - Country:US
Mailing Address - Phone:225-888-3100
Mailing Address - Fax:225-256-4210
Practice Address - Street 1:1120 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-4802
Practice Address - Country:US
Practice Address - Phone:225-888-3100
Practice Address - Fax:225-256-4210
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACIT-5780101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)