Active NPIIndividual providerSole proprietor

Mrs. Willow N Broaddus, LCMHC

Counselor, Mental Health in Brattleboro, Vermont

NPI Number1205407970
Practice location
87 Bonnyvale RD, Brattleboro, VT 05301-2548
Fax
—
Last updated
May 27, 2026

Willow Nicole Broaddus is a Counselor, Mental Health based in Brattleboro, VT. Willow Nicole Broaddus practices in Brattleboro, VT and has the professional credentials of LCMHC. The NPI Number for Willow Nicole Broaddus is 1205407970 and holds a License No. 068.0134330 (VT). The current practice location address for Willow Nicole Broaddus is 87 Bonnyvale RD, Brattleboro, VT 05301-2548 and can be reached out via phone at 802-565-7124.

Provider Profile Details

NPI Number
1205407970
Provider Name
Willow Nicole Broaddus
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
87 Bonnyvale RD, Brattleboro, VT 05301-2548
Phone Number
802-565-7124
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2021
Last Update Date
May 27, 2026
Certification Date
May 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
87 Bonnyvale RD
Brattleboro, VT 05301-2548
State
Vermont
Zip
05301-2548
Phone Number
802-565-7124
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
87 Bonnyvale RD
Brattleboro, VT 05301-2548
City
Brattleboro
State
VT
Zip
05301-2548
Phone Number
802-565-7124

License Information

License Number
068.0134330
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Willow N Broaddus, LCMHC?

The NPI number of Mrs. Willow N Broaddus, LCMHC is 1205407970. It was assigned on July 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Willow N Broaddus, LCMHC?

Mrs. Willow N Broaddus, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0134330.

Where does Mrs. Willow N Broaddus, LCMHC practice?

The practice location is 87 Bonnyvale RD, Brattleboro, VT 05301-2548. The office can be reached at 802-565-7124 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205407970 directly on the NPPES registry website.

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