WILLIS BROADWAY
NPI 1063869998
Counselor - Mental Health in Monroe, LA
About Willis Broadway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIS BROADWAY (NPI 1063869998) is an individual mental health provider in Monroe, Louisiana and active in the NPI registry since May 2016.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willis Broadway's NPI number?
The NPI number for Willis Broadway is 1063869998. It was assigned to this individual provider in the NPPES registry on May 20, 2016.
Where is Willis Broadway located?
Willis Broadway practices at 1009 S 10th St, Monroe, LA 71202. The listed phone number is (318) 791-0533.
What is Willis Broadway's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Willis Broadway was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Willis Broadway · NPI 1063869998
Mental Health provider in Monroe, Louisiana. Individual provider, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1063869998 (Entity type: Individual)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1009 S 10TH ST, Monroe, LA 71202-2925
- **Phone:** (318) 791-0533
## Record status
- **NPPES last updated:** May 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063869998) · Data from the CMS NPPES public registry.