MRS. KRISTIN E BRODERICK (NPI# 1982116216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982116216 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN E BRODERICK |
| Credential | LPC, CAADC |
| Practice Address |
300 Commercial Ct Ste F Savannah GA 31406-2676 |
| Mailing Address |
700 Commercial Ct Ste 102 Savannah GA 31406-3675 |
| Practice Telephone | 9125035744 |
| Practice Fax Number | 9133356559 |
| Mailing Telephone | 9125035744 |
| Mailing Fax Number | 9123356559 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009748 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1332 Southern Drive, Statesboro, GA 30458 | 9124780449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962772129 | Kristin Kathleen Broderick | Marriage & Family Therapist | 100 Owings Court, Suite 8, Reisterstown, MD 21136 | 2012-01-05 |
| Street Address |
300 COMMERCIAL CT STE F |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831440072 | Charita Nicole Smith | Social Worker | 300 Commercial Ct Ste F, Savannah, GA 31406-2676 | 2012-09-27 |
| 1093110728 | Brandy Zinn | Counselor | 300 Commercial Ct Ste F, Savannah, GA 31406-2676 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 1548876964 | Al-nisa Monique Bailey | Counselor | 1704 Jasmine Trl, Savannah, TX 76227-7719 | 2020-09-21 |
| 1437768199 | Melissa R Eckroth | Counselor | 116 Dukes Way, Savannah, GA 31419-8953 | 2020-07-29 |
| 1316556343 | Anna Lila Black | Counselor | 9 Hetherington Ln, Savannah, GA 31411-1527 | 2020-07-27 |
| 1073130704 | John Warren Williams | Counselor | 1801 Abercorn St, Savannah, GA 31401-8121 | 2020-06-29 |
| 1922623644 | Skidaway Behavioral Institute LLC | Counselor | 3 Chatuachee Xing, Savannah, GA 31411-1602 | 2020-06-09 |
| 1467085449 | Rachel Harris | Counselor | 807 Goebel Ave, Savannah, GA 31404-2421 | 2020-02-18 |
| 1043841471 | Whitney Troutman Owens | Counselor | 2103 Bull St, Savannah, GA 31401-8530 | 2020-02-04 |
| 1881234425 | Robbins, Corse & Associates, LLC | Counselor | 7505 Waters Ave Ste C4, Savannah, GA 31406-3820 | 2020-01-12 |
| 1538704721 | Carmella Christensen | Counselor | 3228 Whitemarsh Way, Savannah, GA 31410-5219 | 2019-11-12 |
| Find all providers in SAVANNAH | ||||
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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.