Organization
SONYA BROADUS, LPC PC
Active
Organization
SONYA BROADUS, LPC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KACY MARIE EAST (OFFICE MANAGER)
(251) 800-1166
Entity
Organization
Contact information
Practice address
10654 US HIGHWAY 31 STE B, SPANISH FORT, AL 36527-8691
(251) 800-1166
Mailing address
10654 US HIGHWAY 31 STE B, SPANISH FORT, AL 36527-8691
(251) 800-1166
(251) 308-1591
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3403
LICENSE
AL
Enumeration date
03/25/2021
Last updated
03/25/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up