RALPH BROUSSARD (NPI# 1104286681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104286681 |
Entity Type | Individual |
Full Name | RALPH BROUSSARD |
Credential | DOCTORATE |
Practice Address |
1811 Standard Ave Louisville KY 40210-1639 |
Practice Telephone | 5024130102 |
Mailing Telephone | 5024130102 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
1811 STANDARD AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40210-1639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932505427 | Corner of Hope Recovery Center | Substance Abuse Rehabilitation Facility | 1811 Standard Ave, Louisville, KY 40210-1639 | 2014-11-10 |
1972963551 | Wanda Sylla | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-25 |
1477912145 | Gregg Edwards | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
1114386893 | Daniel Ray Jr. | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
1790144418 | Chad Carter | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568919322 | Drjbcdc | Chiropractor | 1714 Dixie Hwy, Louisville, KY 40210 | 2016-09-08 |
1194900100 | Mahyar Mofidi | Dentist | 1480 Dixie Hwy, Louisville, KY 40210 | 2008-01-09 |
1962552042 | Dixie Dental Center Psc | Clinic/Center | 1480 Dixie Hwy, Louisville, KY 40210 | 2007-01-11 |
1528494770 | Valerie Gholson Day | Marriage & Family Therapist | 1620 Anderson St, Louisville, KY 40210-1032 | 2013-09-19 |
1851821532 | Heart 2 Heart Veterans Care | Nurse's Aide | 2518 Osage Ave, Louisville, KY 40210-1116 | 2017-06-15 |
1588127310 | Klf Company LLC | Community/Behavioral Health | 1833 Date St, Louisville, KY 40210-1245 | 2019-04-09 |
1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
1568070480 | Stimar Healthcare LLC | Nurse Practitioner | 2111 W Oak St, Louisville, KY 40210-1419 | 2020-07-16 |
1982240115 | Geri Ann Thomas | Nurse Practitioner | 2228 Hale Ave, Louisville, KY 40210-1436 | 2019-11-22 |
1649747882 | Tanika L. Owens | Kinesiotherapist | 1022 Dumesnil St., Louisville, KY 40210-1517 | 2018-10-25 |
Find all providers in zip 40210 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281711 | Net Law Group, Inc | Counselor | 12910 Shelbyville Rd Ste 124, Louisville, KY 40243-1594 | 2020-07-04 |
1114541521 | Misty R Keith | Counselor | 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 | 2020-06-01 |
1659938678 | Yomna Amer | Counselor | 9110 Auburn Woods Ct, Louisville, KY 40214-7601 | 2019-05-24 |
1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
1316419765 | Maurice F Williamson | Counselor | 12807 Bay Tree Way, Louisville, KY 40245-6536 | 2018-12-26 |
1013493717 | Vision of Promise LLC | Counselor | 2312 S Preston St Unit 17707, Louisville, KY 40217-5029 | 2018-07-16 |
1902310790 | Susan Elizabeth St Vrain | Counselor | 4835 Poplar Level Rd, Louisville, KY 40213-2905 | 2017-12-01 |
1649799834 | Nicola A Heekin | Counselor | 126 Heady Ave, Louisville, KY 40207-3916 | 2017-09-19 |
1871022483 | Kelly Stuhldreher | Counselor | 1293 California Ave Ste A, Louisville, OH 44641-8749 | 2017-06-07 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40210 |
Please comment or provide details below to improve the information on RALPH BROUSSARD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.