Dania Broussard, MHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1333 Common St
Lake Charles, LA 70601-5255

Phone

(337) 437-4014

NPI assigned

Feb 16, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MK Dixon Counseling & Consulting LLC

  dba Breakthrough Therapeutic Services

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1306365457

  Mental Health

  NPD (past)
• Resource Management Services of St. Landry, LLC

  dba Resource Management Services of St. Landry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1235232786
  NPD (past)
• Resource Management Services, Inc. of Southwest Louisiana

  dba Resource Management Services, Inc. of SWLA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1841300225
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1508511742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDUSTRIAL PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015255",
            "telephone_number": "337-437-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "DANIA",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Cale Brouillette, PMHNP-BC
• Alexandrea Mae Broussard
• Brandon Joseph Broussard, DPT
• Britni Broussard, MS
• Craig V Broussard, MD
• Elizabeth Marie Broussard, RN
• Eva Broussard
• Felicia Marie Broussard, RPH
• Michael Louis Broussard, M.D.
• Randall Paul Broussard II

• Case Manager/Care Coordinator in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.