Sonya Broadus, LPC PC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SONYA BROADUS, LPC PC

Practice address

10654 US Highway 31 Ste B
Spanish Fort, AL 36527-8691

Phone

(251) 800-1166

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kacy Marie East

Title

Office Manager

Phone

(251) 800-1166

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonya Broadus, CRC, LPC

  • Professional Counselor
  • Spanish Fort, AL
  • NPI 1457734881
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1619554623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 US HIGHWAY 31 STE B",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278691",
            "telephone_number": "251-800-1166",
            "fax_number": "251-308-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 US HIGHWAY 31 STE B",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278691",
            "telephone_number": "251-800-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONYA BROADUS, LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "KACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-800-1166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3403",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonya@broadusoutpatientservices.com",
            "affiliation": "N",
            "address_1": "10654 US Highway 31 Ste B",
            "city": "Spanish Fort",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365278691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Heath Sherrer, BCBA
• Elizabeth McGuffin Simmons, IBCLC
• Kaitlyn Grace Slagle
• Michael Shay Smith, PHARMD
• Kevin Snyder
• Spanish Fort Chiropractic LLC
• Spanish Fort Dental Associates, LLC
• Spanish Fort Dental Care, P.C.
• Spanish Fort Internal Medicine, P C
• Shelby Stewart, PHARMD

• Substance Abuse Rehabilitation Facility in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Substance Abuse Rehabilitation Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.