NPI 1619554623
Sonya Broadus, Lpc PC
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
Adult Mental Health Clinic/Center
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.