Individual provider · Type 1 NPI

Mary Blake Broadway, M.A.

Mental Health Counselor · Knoxville, TN

NPI number 1073455838 Active

Practice location

6708 Albunda Dr
Knoxville, TN 37919-4803

Call (865) 670-0988 Map

Mailing address

3825 Washington Pike
Knoxville, TN 37917-1722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8593 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1073455838

Mary Blake Broadway, M.A.'s National Provider Identifier is 1073455838, issued on Apr 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on Apr 8, 2026.