Healthcare Provider Details

I. General information

NPI: 1942690870
Provider Name (Legal Business Name): JULIE BROBST LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SE 25TH ST
TOPEKA KS
66605-1734
US

IV. Provider business mailing address

2201 SE 25TH ST
TOPEKA KS
66605-1734
US

V. Phone/Fax

Practice location:
  • Phone: 785-267-0651
  • Fax: 785-267-0573
Mailing address:
  • Phone: 785-267-0651
  • Fax: 785-267-0573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number698
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number698
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: