TAMMY BROUSSARD M.S., LPC
NPI 1225233646
Counselor - Professional in Sallisaw, OK

Active since June 16, 2007
204 E CHOCTAW AVE, SALLISAW, OK 74955(918) 790-2292(918) 790-2291 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tammy Broussard M.s., Lpc NPPES

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

TAMMY BROUSSARD M.S., LPC (NPI 1225233646) is an individual professional provider in Sallisaw, Oklahoma, licensed in Oklahoma (3781) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1225233646
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAMMY BROUSSARDCredential: M.S., LPC
Location Address204 E CHOCTAW AVESallisaw, OK 74955-4604
Mailing Address204 E Choctaw AveSallisaw, OK 74955-4604 · (918) 790-2292 · Fax (918) 790-2291
Fax(918) 790-2291
Sole ProprietorYes
Enumeration DateJune 16, 2007
Last NPPES UpdateJuly 16, 2012
NPI 1225233646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 3781
204 E CHOCTAW AVE, Sallisaw, OK 74955

Other Identifiers 2

Medicaid200350940AOK
Other12163359Caqh #

Other Providers at the Same Location NPPES 20

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

Behavior Analyst
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor (Mental Health)
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor (Professional)
204 E CHOCTAW AVE
SALLISAW, OK 74955
Counselor (Mental Health)
204 E CHOCTAW AVE
SALLISAW, OK 74955
Family Medicine
204 E CHOCTAW AVE
SALLISAW, OK 74955

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 Tammy Broussard's NPI number?

The NPI number for Tammy Broussard is 1225233646. It was assigned to this individual provider in the NPPES registry on June 16, 2007.

Where is Tammy Broussard located?

Tammy Broussard practices at 204 E Choctaw Ave, Sallisaw, OK 74955. The listed phone number is (918) 790-2292.

What is Tammy Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tammy Broussard was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.