Individual provider · Type 1 NPI
Angela Broadnax
Mental Health Clinic/Center (Including Community Mental Health Center) · Macclenny, FL
NPI number
1457089682
Active
Practice location
505 Matecumbe Ct
Macclenny, FL 32063-8832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1457089682
Angela Broadnax's National Provider Identifier is 1457089682, issued on Aug 15, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Macclenny, FL. The record was last updated on Aug 15, 2022.