LATASHA BROOMFIELD (NPI# 1699192096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699192096 |
| Entity Type | Individual |
| Full Name | LATASHA BROOMFIELD |
| Credential | MA, LPC, NCC, CACI |
| Practice Address |
409 Simpkins St Edgefield SC 29824-1313 |
| Practice Telephone | 8036375788 |
| Mailing Telephone | 8036375788 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6126 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 421504 | 05 |
| Street Address |
409 SIMPKINS ST |
| City | EDGEFIELD |
| State | SC |
| Zip Code | 29824-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720197676 | Cheryl H Lindler | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-08-30 |
| 1649338286 | Myrdis Y. Sheppard | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-12-05 |
| 1790843720 | Sherry Leigh Paschal | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-12-04 |
| 1033281498 | Gail Butler Smith | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-11-14 |
| 1699847020 | Winifred Jean Eubanks | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-11-14 |
| 1205928728 | Teri Lynn Cristal | Social Worker | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-09-29 |
| 1942392295 | Marion Robert Henderson | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-09-28 |
| 1487755799 | Carole Ann Chidley | Counselor | 409 Simpkins St, Edgefield, SC 29824-1313 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
| 1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
| 1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
| 1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
| 1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| Find all providers in zip 29824 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960484 | Sharon Kristen Gregory | Counselor | 1003 Landfall Way Ste A, Seabrook Island, SC 29455-6323 | 2020-10-21 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1972101632 | Sherita Vondale Dudley Riley | Counselor | 2 Holly Hock Ct, Irmo, SC 29063-9477 | 2020-10-15 |
| 1346848504 | New Wind Counseling, LLC | Counselor | 203 Richfield Ter, Greer, SC 29650-3746 | 2020-10-11 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1144835547 | Kim Everard | Counselor | 105 Brookbend Rd, Mauldin, SC 29662-1625 | 2020-09-11 |
| 1538773536 | Jamie Ann Manko | Counselor | 1400 Crowndale Dr, Sumter, SC 29150-1874 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
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| 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.