KAYLA BROUSSARD (NPI# 1124613237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124613237 |
| Entity Type | Individual |
| Full Name | KAYLA BROUSSARD |
| Gender | Female |
| Credential | LPC |
| Practice Address | 4640 Main St Houston TX 77002-0007 |
| Practice Telephone | 7138294973 |
| Mailing Address | 4640 Main St Houston TX 77002-0007 |
| Certification Date | 2021-03-02 |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YP2500X | Counselor Specialization: Professional | 75585 | TX | Behavioral Health & Social Service Providers |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | KBROUSSARD@USVETS.ORG (E-MAIL ADDRESS) | 4640 Main St, Houston, TX 770020007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003256538 | Kayla Broussard | 2708 Ne 14th St, Ste 5, Pompano Beach, FL 33062-3565 | 2013-06-28 |
| Street Address | 4640 MAIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-0007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548852791 | Us Vets Houston | Substance Abuse Rehabilitation Facility | 4640 Main St, Houston, TX 77002-0007 | 2021-02-09 |
| 1962094292 | Joelle Devee Mills | Counselor · Addiction (Substance Use Disorder) | 4640 Main St, Houston, TX 77002-0007 | 2021-02-08 |
| 1376656074 | Department of Veterans Affairs | Psychiatric Hospital | 4640 Main St, 440, Houston, TX 77002-9714 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1912526328 | Nancy J Landez | Student in an Organized Health Care Education/Training Program | 1401 St Joseph Pkwy, Sks1106a, Houston, TX 77002 | 2020-04-15 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1043877426 | Erin Perkins | Obstetrics & Gynecology | 1401 St Joseph Pkwy # 1106a, Houston, TX 77002 | 2019-05-21 |
| 1508420563 | Ines Tamzali · Ines Tamzali Bentahar | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center · Pain | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1538615489 | Raja Mutyala | Clinical Medical Laboratory | 2000 Crawford Street, Suite 1125, Houston, TX 77002 | 2016-08-31 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124613591 | Mar'Qiesha Stephens | 7130 Heath St, Houston, TX 77016-2316 | 2021-03-07 | |
| 1497349229 | Freac, LLC | 8300 Fm 1960 Rd W Ste 450, Houston, TX 77070-5699 | 2021-02-23 | |
| 1134713175 | Alexis Kemp | 6503 Marinwood Dr, Houston, TX 77053-4359 | 2021-02-21 | |
| 1235722141 | Felecia Hansen | 3318 Teawick Ct, Houston, TX 77068-1944 | 2021-02-11 | |
| 1083206528 | Lychene Nmankan Wolo Saah | 17531 Glenmorris Dr, Houston, TX 77084-1191 | 2021-02-05 | |
| 1881286581 | Gladys B Counseling and Education Center | 7676 Hillmont St Ste 290b, Houston, TX 77040-6425 | 2021-02-04 | |
| 1063003838 | Jessie Norris | 702 Arlington St, Houston, TX 77007-1631 | 2021-02-03 | |
| 1194315853 | Cinnamin Rivers | 11106 Sageleaf Lane, Houston, TX 77089 | 2021-01-26 | |
| 1942890678 | Ascot Counseling Services | 3724 Fm 1960 Rd W # 300a, Houston, TX 77068-3528 | 2021-01-26 | |
| 1427648237 | Jenna Cook | 4130 Bellaire Blvd Ste 208, Houston, TX 77025-1056 | 2021-01-25 | |
| Find all providers in HOUSTON | ||||
| City | HOUSTON |
| Zip Code | 77002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023068335 | Louisiana Guest House LLC · Camelot of Broussard | Skilled Nursing Facility | 418 Albertsons Parkway, Broussard, LA 70518 | 2006-05-10 |
| 1396038667 | Louisiana Guest House, LLC · Camelot of Broussard Assisted Living | Assisted Living Facility | 418 Albertson Pkwy, Broussard, LA 70518-4971 | 2011-05-19 |
| 1942727763 | Katherine Broussard Juneau | Social Worker · Clinical | 317 Nora Broussard Rd, Youngsville, LA 70592 | 2017-08-23 |
| 1710209044 | Aimee C Broussard | Nurse Practitioner · Psychiatric/Mental Health | 805 Albertson Pkwy Ste A, Broussard, LA 70518-4350 | 2010-03-01 |
| 1891962437 | Judy Broussard Trahan · Judy Ann Broussard | Nurse Practitioner · Adult Health | 4212 W Congress St, Suite 3600, Lafayette, LA 70506-6765 | 2008-05-13 |
| 1902102510 | Alexis Broussard Dailey · Alexis R. Broussard | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531 | 2011-01-28 |
| 1003153958 | Rien Broussard Thomas · Rien Ashley Broussard | Optometrist | 6419 Larrycrest Dr, Pearland, TX 77584-9720 | 2013-01-12 |
| 1427220144 | Anna Rene Broussard · Rene Broussard | Counselor · Mental Health | 6625 S Rural Rd, Suite 111, Tempe, AZ 85283-3717 | 2008-04-02 |
| 1043409477 | Catherine Broussard Trevino · Catherine Elizabeth Broussard | Nurse Practitioner · Family | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2007-10-22 |
| 1699832345 | Richard Kent Broussard LLC · Richard K. Broussard, Md | Specialist | 439 Heymann Blvd, Lafayette, LA 70503-2616 | 2007-01-02 |
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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.