BROADDUS EMPOWERMENT LLC NPI 1023880978

NPI Information

  • NPI: 1023880978
  • Provider Name: BROADDUS EMPOWERMENT LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 2101 E 142ND AVE APT 102
    TAMPA, FL
    ZIP 33613
  • Phone: (215) 876-2802

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NPI Details

BROADDUS EMPOWERMENT LLC is a community behavioral health in Tampa, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BROADDUS EMPOWERMENT LLC NPI is 1023880978. The provider is registered as an organization entity type.

The provider's business location address is:

2101 E 142ND AVE APT 102
TAMPA, FL
ZIP 33613-629
Phone: (215) 876-2802

The provider's authorized official is Robbin Garrett .
The authorized official title is Owner and has the following contact phone number (813) 475-0847.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3324500000XSubstance Abuse Rehabilitation FacilityNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
5342000000XTransportation Network CompanyNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7101YM0800XCounselorMental HealthNo
8103TA0400XPsychologistAddiction (Substance Use Disorder)No
9103TA0700XPsychologistAdult Development & AgingNo
10103TC2200XPsychologistClinical Child & AdolescentNo
11133NN1002XNutritionistNutrition, EducationNo
12171M00000XCase Manager/Care CoordinatorNo
13251300000XLocal Education Agency (LEA)No
14251B00000XCase ManagementNo
15251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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