Mark Shannon Broussard, LAC, CCS in Baton Rouge, LA

Mark Shannon Broussard, LAC, CCS is a Counselor - Addiction (substance Use Disorder) based in Baton Rouge, Louisiana. Mark Shannon Broussard is licensed to practice in Louisiana (license number 661) and his current practice location is 5431 Superior Dr, Baton Rouge, Louisiana. He can be reached at his office (for appointments etc.) via phone at (225) 964-5000.

NPI number for Mark Shannon Broussard is 1255833661 and his current mailing address is 6421 Perkins Rd Ste A, Baton Rouge, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255833661.

Contact Information

	Mark Shannon Broussard, LAC, CCS
	5431 Superior Dr, Baton Rouge, LA 70816-6044
	(225) 964-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Shannon Broussard
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	5431 Superior Dr, Baton Rouge, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255833661
Provider Enumeration Date: 03/01/2018
Last Update Date: 03/01/2018

Medical Identifiers

Medical identifiers for Mark Shannon Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255833661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	661 (Louisiana)	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. Mark Shannon Broussard 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
Mark Shannon Broussard, LAC, CCS 6421 Perkins Rd Ste A, Baton Rouge, LA 70808-6200 Ph: (225) 924-3000	Mark Shannon Broussard, LAC, CCS 5431 Superior Dr, Baton Rouge, LA 70816-6044 Ph: (225) 964-5000

Reviews and Comments

Counselor in Baton Rouge, LA

Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151
Doris Hammond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12097 Old Hammond Hwy Ste I4, Baton Rouge, LA 70816 Phone: 225-246-8816 Fax: 225-302-5506
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646

Mark Shannon Broussard, LAC, CCS - Counselor in Baton Rouge, LA