Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS is a
Counselor - Mental Health based in Volente, Texas. Mr Robert Dean Broadhead Jr is licensed to practice in Texas (license number ) and his current practice location is
16201 Dodd St Ste 200, Volente, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 553-5380.
NPI number for Mr Robert Dean Broadhead Jr is 1710530639 and his current mailing address is 2110 Ranch Road 620 S Unit 341225, Lakeway, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710530639.
Healthcare Provider's Profile
| Full Name | Mr Robert Dean Broadhead Jr |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 16201 Dodd St Ste 200, Volente, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710530639
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 02/05/2025
Medical Identifiers
Medical identifiers for Mr Robert Dean Broadhead Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710530639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 1463 (Texas) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | 1463 (Texas) | Secondary |
| 225800000X | Recreation Therapist | 82138 (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Texas) | 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. Mr Robert Dean Broadhead Jr 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 |
|---|
Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS
2110 Ranch Road 620 S Unit 341225,
Lakeway, TX 78734-0250
Ph: (512) 553-5380 | Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS
16201 Dodd St Ste 200,
Volente, TX 78641-6020
Ph: (512) 553-5380 |
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