Whalio Doctors

NPI 1619554623

Sonya Broadus, Lpc PC

Organisation Substance Abuse Rehabilitation Facility Spanish Fort, AL

Practice location

Address
10654 US Highway 31 STE B, Spanish Fort, AL 36527-8691
Phone
(251) 800-1166

Authorised official

Name
Kacy Marie East
Title
Office Manager
Phone
(251) 800-1166

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI
1619554623
Entity type
Organization
NPI issued
25 Mar 2021
Record last updated
25 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.