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MR. BRODERICK WEBSTER SR. LPC
NPI 1124897996
Counselor - Mental Health in Bolivar, TN

Active since December 21, 2023
793 TENNESSEE ST, BOLIVAR, TN 38008(731) 228-9068(901) 425-9773 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Broderick Webster Sr. Lpc NPPES

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

MR. BRODERICK WEBSTER SR. LPC (NPI 1124897996) is an individual mental health provider in Bolivar, Tennessee and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1124897996
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRODERICK WEBSTER SR.Credential: LPC
Location Address793 TENNESSEE STBolivar, TN 38008-2441
Mailing Address844 Sheridan StMemphis, TN 38107-4611 · (901) 620-7289
Phone(731) 228-9068
Fax(901) 425-9773
Sole ProprietorNo
Enumeration DateDecember 21, 2023
Last NPPES UpdateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1124897996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
793 TENNESSEE ST, Bolivar, TN 38008
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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.

MS. SUSANNA REID
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
TATYANA DEMATO MSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
DR. AVANTI CROSS-BROWN DNP, PMHNP, CARN-AP
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (901) 864-9563
PEGGY CLARK LMSW
Social Worker (Clinical)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
BRUCE WILKS LADAC
Counselor (Addiction (Substance Use Disorder))
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
JOSELYN WILSON PSYCHOLOGY
Psychologist (Counseling)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
MRS. KAYLA WILLIAMS APRN, DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068
BROWN BEHAVIORAL HEALTH SERVICES
Clinic/Center (Rural Health)
793 TENNESSEE ST
BOLIVAR, TN 38008
Hardeman County (731) 228-9068

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 Broderick Webster's NPI number?

The NPI number for Broderick Webster is 1124897996. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Broderick Webster located?

Broderick Webster practices at 793 Tennessee St, Bolivar, TN 38008. The listed phone number is (731) 228-9068.

What is Broderick Webster'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 Broderick Webster was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.