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BROADSTREET COUNSELING SERVICES LLC
NPI 1053029561
Clinic/Center - Adult Mental Health in Oakland, CA

Active since November 14, 2022
2919 TELEGRAPH AVE APT 303, OAKLAND, CA 94609(313) 704-4217 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Broadstreet Counseling Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADSTREET COUNSELING SERVICES LLC (NPI 1053029561) is a healthcare organization registered as an adult mental health in Oakland, California and active in the NPI registry since November 2022. The organization lists Brandon Haygood, Therapist, as its authorized official.

NPPES Registry Identity

NPI1053029561
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBROADSTREET COUNSELING SERVICES LLC
Location Address2919 TELEGRAPH AVE APT 303Oakland, CA 94609-3577
Mailing Address2919 Telegraph Ave Apt 303Oakland, CA 94609-3577 · (313) 704-4217
Phone(313) 704-4217
Organization SubpartNo
Authorized OfficialBrandon HaygoodTherapist · (313) 704-4217
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
✔ NPI 1053029561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2919 TELEGRAPH AVE APT 303, Oakland, CA 94609
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Frequently Asked Questions

What is BROADSTREET COUNSELING SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1053029561, enumerated as an "organization" on November 14, 2022.

Where is the provider located?

The provider is located at 2919 TELEGRAPH AVE APT 303 OAKLAND, CA 94609 and the phone number is (313) 704-4217.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.