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Individual

BROOKE SMITH MIZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC, LCMHC

Contact information

Practice address
612 BUSINESS PARK DR STE A, EDEN, NC 27288-6461
(336) 344-1594
Mailing address
408 ROBERTS RD, EDEN, NC 27288-7645
(336) 344-1594

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17273
NC
101YM0800X
Mental Health Counselor
Primary
A17273
NC

Other

Enumeration date
01/14/2022
Last updated
03/27/2026
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