Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADISHA K BENNETT BRODDE, LPC
ActiveSHADISHA K BENNETT BRODDE, LPC is a Mental Health Counselor healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1477826022 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1477826022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2012 (14.461526763027 yrs)
- Last Updated
- Jun 16, 2021
- Licenses
-
178005880 (IL)MH18303 (FL)
Practice Information
- Address
-
910 GOLDEN LAKE LOOPSAINT AUGUSTINE, FL, 320845877Browse FL providers · Browse ZIP 32084
- Phone
- 4783875582
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in SAINT AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| VALERIE CATHERINE DEVILLE | LMHC | 1427047901 |
| MR. DAVID LEROY HACKNEY | L.M.H.C. | 1407946726 |
| MRS. KAREN GAIL SELIG | L.M.F.T. | 1447333208 |
| MR. JOHN R JONES JR. | M.B.A.,M.A., LMHC | 1093884793 |
| KASSANDRA SHUGARS MCCUNE | LMHC | 1043488349 |
| LISA BRITT | LMHC | 1023246030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.