Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BROADNAX, MED
ActiveLISA BROADNAX, MED is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ZACHARY, Louisiana. NPI 1508360777 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ZACHARY, LA
Registration Details
- NPI Number
- 1508360777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2018 (8.3595567941833 yrs)
- Last Updated
- Mar 21, 2018
Practice Information
- Address
-
6351 MAIN STZACHARY, LA, 707914038Browse LA providers · Browse ZIP 70791
- Phone
- 2253062000
- Fax
- 2256581282
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ZACHARY, LA
| Name | Credential | NPI |
|---|---|---|
| PEYTON JENKINS | — | 1710842679 |
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.