Individual provider · Type 1 NPI

Alexis Broach

Mental Health Counselor · Gotha, FL

NPI number 1548968191 Active

Practice location

719 Little Hampton Ln
Gotha, FL 34734-4713

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548968191

Alexis Broach's National Provider Identifier is 1548968191, issued on Feb 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gotha, FL. The record was last updated on Feb 22, 2023.