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Andrea Broadnax
Community/Behavioral Health Agency in Fayetteville, North Carolina
NPI 1508225160

Andrea Broadnax is a Community/Behavioral Health Agency based in Fayetteville, NC. Andrea Broadnax practices in Fayetteville, NC. The NPI Number for Andrea Broadnax is 1508225160 and holds a License No. (North Carolina).

The current practice location address for Andrea Broadnax is 3444 Bragg Blvd, Fayetteville, NC and can be reached out via phone at 910-286-7873. You can also correspond with Andrea Broadnax through the mailing address at 882 SOUTHVIEW CIR, FAYETTEVILLE, NC - 28311-0318 (mailing address contact number: ).

Location: 3444 Bragg Blvd, Fayetteville, NC, 28311-0318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508225160
Provider Name
Andrea Broadnax
Credential
Provider Entity Type
Individual
Gender
Female
Address
3444 Bragg Blvd, Fayetteville, NC, 28311-0318
Phone Number
910-286-7873
Fax Number
Provider Enumeration Date
02/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3444 Bragg Blvd
City
Fayetteville
State
North Carolina
Zip
28303-3946
Phone Number
910-286-7873
Fax Number
person
Provider Business Mailing Address Details
Address
882 Southview Cir
City
Fayetteville
State
North Carolina
Zip
28311-0318
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
2016-3437-01 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(North Carolina)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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