Renita L Broades is a Professional in Ardmore, Oklahoma. Renita L Broades practices all healthcare services and medical treatments related to Professional. The NPI Number for Renita L Broades is 1720287741. The last update date is 2019-06-19.
Renita L Broades's current location address is 301 W Main St Ste 328, Ardmore, Oklahoma. You can contact this provider via phone number 5802204011. The mailing address for Renita L Broades is 301 W Main St Ste 328, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renita L Broades |
|---|---|
| Address | 301 W Main St Ste 328, Ardmore, Oklahoma |
| Phone Number | 5802204011 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1720287741 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2019-06-19 |
Provider Mailing Address Detail
| Address | 301 W Main St Ste 328 |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734016322 |
| Phone Number | 5802204011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2643 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code assigned to Renita L Broades by the Centers for Medicare & Medicaid Services?
The Renita L Broades has been issued the NPI (National Provider Identifier) 1720287741, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Renita L Broades located?
The Renita L Broades is located at 301 W Main St Ste 328, Ardmore, OK 734016322.
What is Renita L Broades's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Renita L Broades is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date was the 1720287741 assigned to Renita L Broades?
The Renita L Broades was issued its 1720287741 on 2007-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Renita L Broades most recently updated?
The details pertaining to the Renita L Broades, including its address, specialty, and other relevant information, were last refreshed on 2019-06-19.