FARISAI DIX-BROUGHTON NPI 1780464867

NPI Information

  • NPI: 1780464867
  • Provider Name: FARISAI DIX-BROUGHTON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 610 KENTUCKY ST
    SCOTTDALE, GA
    ZIP 30079
  • Phone: (770) 988-7470

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NPI Details

Farisai Dix-broughton is a mental health counselor in Scottdale, GA. Farisai Dix-broughton NPI is 1780464867. 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:

610 KENTUCKY ST
SCOTTDALE, GA
ZIP 30079-124
Phone: (770) 988-7470

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

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
1101YM0800XCounselorMental HealthAPC008628GEORGIAYes

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

NPI Synchronization or Removal

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