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Sonya Broadus, Lpc Pc
Substance Abuse Rehabilitation Facility in Spanish Fort, Alabama
NPI 1619554623

Sonya Broadus, Lpc Pc is a Substance Abuse Rehabilitation Facility based in Spanish Fort, AL. Sonya Broadus, Lpc Pc practices in Spanish Fort, AL. The NPI Number for Sonya Broadus, Lpc Pc is 1619554623 and holds a License No. (Alabama).

The current practice location address for Sonya Broadus, Lpc Pc is 10654 Us Highway 31 Ste B, Spanish Fort, AL and can be reached out via phone at 251-800-1166. You can also correspond with Sonya Broadus, Lpc Pc through the mailing address at 10654 US HIGHWAY 31 STE B, SPANISH FORT, AL - 36527-8691 (mailing address contact number: 251-800-1166).

Location: 10654 Us Highway 31 Ste B, Spanish Fort, AL, 36527-8691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619554623
Provider Name
Sonya Broadus, Lpc Pc
Credential
Provider Entity Type
Organization
Address
10654 Us Highway 31 Ste B, Spanish Fort, AL, 36527-8691
Phone Number
251-800-1166
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3403 01 AL LICENSE
institution
Provider Business Practice Location Address Details
Address
10654 Us Highway 31 Ste B
City
Spanish Fort
State
Alabama
Zip
36527-8691
Phone Number
251-800-1166
Fax Number
person
Provider Business Mailing Address Details
Address
10654 Us Highway 31 Ste B
City
Spanish Fort
State
Alabama
Zip
36527-8691
Phone Number
251-800-1166
Fax Number
251-308-1591
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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