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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT DEAN BROADHEAD JR., RT, MSRLS, CTRS, TRS

Active Sole Proprietor

MR. ROBERT DEAN BROADHEAD JR., RT, MSRLS, CTRS, TRS is a Mental Health Counselor healthcare provider located in VOLENTE, Texas. NPI 1710530639 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · VOLENTE, TX

Registration Details

NPI Number
1710530639
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2019 (7.1036179931619 yrs)
Last Updated
Feb 5, 2025
Licenses
1463 (TX)
1463 (TX)
82138
Sole Proprietor
Yes

Practice Information

Address
16201 DODD ST STE 200
VOLENTE, TX, 786416020
Browse TX providers · Browse ZIP 78641
Phone
5125535380
Fax
5125535380
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Health Educator
Additional Specialty
Recreation Therapist
Additional Specialty
Mental Health Counselor
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.