Christine Broyles
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ft Oglethorpe, GA
NPI 1194236323 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194236323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2007 Old Lafayette Rd
Ft Oglethorpe, GA 30742-3510 - Phone
- (706) 861-9390
- Fax
- (706) 866-4740
- NPI assigned
- Oct 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Georgia, LP | Current |
Accepting new patients | |
| Metro Treatment of Georgia L P | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Locations
2007 Old Lafayette Rd
Ft Oglethorpe, GA 30742
Phone (706) 861-4990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2007 Old Lafayette Rd
Ft Oglethorpe, GA 30742-3510
Mailing address
2007 Old Lafayette Rd
Ft Oglethorpe, GA 30742-3510
Phone (706) 861-9390
Other providers in Ft Oglethorpe, GA
- Chanity Brooke Brannon
- Danielle Brown
- Jeffrey Kiplyn Brown
- Kaitlin Brown
- Richard Brown
- Steven G Burdette
- Erin Burns
- David Allen Burris Sr.
- C & C Medical Group, Inc.
- Larry V. Calloway
All providers in Ft Oglethorpe, GA · Addiction (Substance Use Disorder) Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.