Organization
BROADY COUNSELING LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA BROADY LCSW (CLINICAL DIRECTOR/OWNER)
(516) 515-0263
Entity
Organization
Contact information
Practice address
63 S WALDINGER ST, VALLEY STREAM, NY 11580-5215
(516) 515-0263
(929) 290-0328
Mailing address
63 S WALDINGER ST, VALLEY STREAM, NY 11580-5215
(516) 515-0263
(929) 290-0328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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