DEBORAH K BROADDUS LPCC NPI 1184749251

NPI Information

NPI: 1184749251
Provider Name: DEBORAH K BROADDUS, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2115 W PARK DR
LORAIN, OH
ZIP 44053
Phone: (440) 989-4987
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Deborah K Broaddus, LPCC is a mental health counselor in Lorain, OH. Deborah K Broaddus, LPCC NPI is 1184749251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2115 W PARK DR
LORAIN, OH
ZIP 44053-138
Phone: (440) 989-4987
Fax: (440) 282-4779

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/7/2024.

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
1	101YM0800X	Counselor	Mental Health	E.0002552-SUPV	OHIO	Yes
2	101YM0800X	Counselor	Mental Health	E-0002552	OHIO	No

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: 4/28/2024

NPI Synchronization or Removal

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