RALPH BROUSSARD


Address: 1811 Standard Ave, Louisville, KY 40210-1639
Phone: 5024130102

RALPH BROUSSARD (NPI# 1104286681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1811 STANDARD AVE
City LOUISVILLE
State KY
Zip Code 40210-1639

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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
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Competitor

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City LOUISVILLE
Zip Code 40210

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Dataset Information

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.

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