Individual provider · Type 1 NPI
Keitha Latrice Broyles
Mental Health Counselor · Millington, TN
NPI number
1649792128
Active
Practice location
5281 Navy Rd
Millington, TN 38053-2535
Mailing address
4375 Highway 51 N Apt 25-103
Horn Lake, MS 38637-8720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
6 other providers at this address
- Professional Care Services of West TN IncLong Term Care Pharmacy Millington, TN NPI 1144386855
- Professional Care Services of West TN IncPrimary Care Clinic/Center Millington, TN NPI 1750203352
- Bonnie Lou Barakat-Smith, MSMental Health Counselor Millington, TN NPI 1720389968
- Chasity Danielle Richardson, LPNLicensed Practical Nurse Millington, TN NPI 1598295867
- Naricia McGowen Futrell, LCSWClinical Social Worker Millington, TN NPI 1033425483
- Sherrie R. Serca, MSN, FNP-BCFamily Nurse Practitioner Millington, TN NPI 1518283399
Other mental health counselor providers in Millington
- Whitney AllgoodMental Health Counselor Millington, TN NPI 1548164445
- Maria Garcia Ramirez, LPC MHSPMental Health Counselor Millington, TN NPI 1558149344
- Alicia Perry IMental Health Counselor Millington, TN NPI 1629716238
- Bonnie Lou Barakat-Smith, MSMental Health Counselor Millington, TN NPI 1720389968
- Crysta Michelle Nilsson, LPCMHSPMental Health Counselor Millington, TN NPI 1801399191
- Natasha Lynn HammockMental Health Counselor Millington, TN NPI 1942807235
About NPI 1649792128
Keitha Latrice Broyles's National Provider Identifier is 1649792128, issued on Jul 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Millington, TN. The record was last updated on Jul 17, 2017.