IndividualActive
Daeshanae Brock, LMFT
NPI 1255166567 · Marriage & Family Therapist · Commerce, GA
Provider details
- NPI number
- 1255166567
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MFT001982 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
97 Foxwood Trl
Commerce, GA 30529-5203
Phone: (816) 965-3036
Approximate (ZIP-level) locationGet directions
Mailing address
97 Foxwood Trl
Commerce, GA 30529-5203
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.