MRS. CATHERINE DEBORAH BROADNAX MA LLPC NPI 1710491006

NPI Information

NPI: 1710491006
Provider Name: MRS. CATHERINE DEBORAH BROADNAX, MA, LLPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202
Phone: (313) 344-9099
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MRS. Catherine Deborah Broadnax, MA, LLPC is a mental health counselor in Detroit, MI. MRS. Catherine Deborah Broadnax, MA, LLPC NPI is 1710491006. 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:

707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202-943
Phone: (313) 344-9099

The enumeration date for this NPI number is 11/22/2017 and was last updated on 11/17/2021.

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	101YP2500X	Counselor	Professional	6401015866	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	6401015866	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2646941	OTHER	MICHIGAN	COUNSELOR

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: 11/14/2023

NPI Synchronization or Removal

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