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NPI Code Detail

MEDICARE: MS. BRITNI BROUSSARD MS

MEDICARE: MS. BRITNI BROUSSARD MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor11059LA

General Provider Information

NPI Number : 1982562864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITNI BROUSSARD MS
Provider Business Mailing Address
First Line : 1925 ENTERPRISE BLVD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-6371
Country : US
Telephone Number : 337-429-5129
Fax Number : 337-214-2077
Provider Business Practice Location Address
First Line : 1925 ENTERPRISE BLVD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-6371
Country : US
Telephone Number : 337-429-5129
Fax Number : 337-214-2077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/20/2026

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Directions to “ MS. BRITNI BROUSSARD MS” Practice Location

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