Alexis Broach, is a
Counselor - Mental Health based in Gotha, Florida. Alexis Broach is licensed to practice in Florida (license number ) and her current practice location is
719 Little Hampton Ln, Gotha, Florida. She can be reached at her office (for appointments etc.) via phone at
(205) 789-5756.
NPI number for Alexis Broach is 1548968191 and her current mailing address is 719 Little Hampton Ln, Gotha, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548968191.
Healthcare Provider's Profile
| Full Name | Alexis Broach |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 719 Little Hampton Ln, Gotha, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548968191
- Provider Enumeration Date: 02/22/2023
- Last Update Date: 02/22/2023
Medical Identifiers
Medical identifiers for Alexis Broach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548968191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Broach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alexis Broach,
719 Little Hampton Ln,
Gotha, FL 34734-4713
Ph: () - | Alexis Broach,
719 Little Hampton Ln,
Gotha, FL 34734-4713
Ph: (205) 789-5756 |
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