Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY DEAN BRODERICK, MS, LMHC
Active Sole ProprietorJIMMY DEAN BRODERICK, MS, LMHC is a Professional Counselor healthcare provider located in WINDER, Georgia. NPI 1962070136 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WINDER, GA
Registration Details
- NPI Number
- 1962070136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2021 (5.1223775285818 yrs)
- Last Updated
- Jun 15, 2021
- License
-
19022 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
498 VALLEY VIEW DRWINDER, GA, 306801421Browse GA providers · Browse ZIP 30680
- Phone
- 3868555444
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in WINDER, GA
| Name | Credential | NPI |
|---|---|---|
| BRITTANY LSSHEA LOGGINS | LPC | 1164644274 |
| MRS. KATHRYN NICOLE HUSEMAN | LPC, NCC | 1710252515 |
| MR. TIMOTHY BRIAN NEVILLE | LPC | 1750644068 |
| JENNIFER MOSLEY | LPC | 1871989582 |
| MRS. JESSICA BROWN | LPC | 1528426178 |
| VALARIA SHANTE SCOTT | CART | 1083128409 |
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.