Broken to Art Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BROKEN TO ART COUNSELING LLC

Doing business as

BTAC

Practice address

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317

Phone

(205) 206-6977

Fax

(205) 533-9265

NPI assigned

Jan 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lasheena Davis, MS, LPC, NCC

Title

Owner/Provider

Phone

(205) 206-6977

Specialties & licenses 4

Addresses

Other names 1

• BTAC Doing business as

Electronic endpoints 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1346839073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091317",
            "telephone_number": "205-206-6977",
            "fax_number": "205-533-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091317",
            "telephone_number": "205-206-6977",
            "fax_number": "205-533-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN TO ART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LASHEENA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "205-206-6977",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavis@brokentoart.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 Southbridge Pkwy Ste 650",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352091302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://brokentoart.org/",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "webpage",
            "address_1": "2100 Southbridge Pkwy Ste 650",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352091302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BTAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BTAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Paige Brodeur, CRNP
• Abigayle Faith Brodie, PHARMD
• Colton Ty Brodock, MD
• Jared Ryan Brodtmann, MD
• Madison Brogan, MD
• Katheryn Broman, MS, RD, LD
• Kristy Broman
• Emily Diane Bromley, CRNA
• Phillip A. Bromley, CRNA
• Caroline Brook

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.