CHARLES STEWART BROUSSARD LAC
NPI 1073969218
Counselor - Addiction (Substance Use Disorder) in Lafayette, LA

Active since May 06, 2016
2020 W PINHOOK RD, SUITE 402, LAFAYETTE, LA 70508(337) 781-6467 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Stewart Broussard Lac NPPES

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

CHARLES STEWART BROUSSARD LAC (NPI 1073969218) is an individual addiction (substance use disorder) provider in Lafayette, Louisiana, licensed in Louisiana (104) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1073969218
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES STEWART BROUSSARDCredential: LAC
Location Address2020 W PINHOOK RD, SUITE 402Lafayette, LA 70508-3290
Mailing Address2020 W Pinhook Rd, Suite 402Lafayette, LA 70508-3290 · (337) 781-6467
Sole ProprietorYes
Enumeration DateMay 6, 2016
NPI 1073969218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in LA · 104
2020 W PINHOOK RD, Lafayette, LA 70508

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2020 W PINHOOK RD, STE 506
LAFAYETTE, LA 70508
Psychologist (Counseling)
2020 W PINHOOK RD, STE 304
LAFAYETTE, LA 70508
Community/Behavioral Health
2020 W PINHOOK RD, SUITE 402
LAFAYETTE, LA 70508
Internal Medicine (Sleep Medicine)
2020 W PINHOOK RD, SUITE 506
LAFAYETTE, LA 70508
Counselor (Professional)
2020 W PINHOOK RD
LAFAYETTE, LA 70508
Clinic/Center (Sleep Disorder Diagnostic)
2020 W PINHOOK RD
LAFAYETTE, LA 70508
Clinical Medical Laboratory
2020 W PINHOOK RD, SUITE 303
LAFAYETTE, LA 70508
Community/Behavioral Health
2020 W PINHOOK RD, SUITE 402
LAFAYETTE, LA 70508

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 Charles Broussard's NPI number?

The NPI number for Charles Broussard is 1073969218. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Charles Broussard located?

Charles Broussard practices at 2020 W Pinhook Rd Suite 402, Lafayette, LA 70508. The listed phone number is (337) 781-6467.

What is Charles Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Broussard was last updated on May 6, 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.