Provider Demographics
NPI:1043501323
Name:BROOKE, SARAH LARKE (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LARKE
Last Name:BROOKE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:BROOKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:114 OAKDALE LOOP
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5931
Mailing Address - Country:US
Mailing Address - Phone:985-855-2005
Mailing Address - Fax:
Practice Address - Street 1:1340 W TUNNEL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2827
Practice Address - Country:US
Practice Address - Phone:985-262-9333
Practice Address - Fax:985-333-1676
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA93311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical