Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMBGRA JUANETTE BROADAWAY, LPC
Active Sole ProprietorTAMBGRA JUANETTE BROADAWAY, LPC is a Counselor healthcare provider located in CHARLOTTE, North Carolina. NPI 1730482852 is currently active in the NPPES registry. Verify at CMS.
Counselor · CHARLOTTE, NC
Registration Details
- NPI Number
- 1730482852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2010 (15.664540851918 yrs)
- Last Updated
- Feb 1, 2018
- License
-
8319 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 E MOREHEAD ST STE 20LCHARLOTTE, NC, 282042872Browse NC providers · Browse ZIP 28204
- Phone
- 7045787543
- Fax
- 7045787543
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| KATHY MOORE DICOLA | MA, LPC, NCC | 1205833209 |
| DR. MICHELLE PRINCE LUKSE | LPC, PHD | 1972502821 |
| DAVID MARK PERKINS | LCMHC | 1205811346 |
| MR. ROBERT MICHAEL COX | LCMHC | 1003884644 |
| MS. CATHY KILLIAN REINBOLD | LPC, LEAP, LCAS | 1588617468 |
| KIMBERLEY REYNOLDS | M.ED., L.P.C. | 1558300277 |
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.