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PHILIP BRANDON BROUSSARD I CIT
NPI 1285405159
Case Manager/Care Coordinator in Shreveport, LA

Active since January 10, 2024
7330 FERN AVE STE 1003, SHREVEPORT, LA 71105(318) 550-5490(318) 550-5489 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Brandon Broussard I Cit NPPES

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

PHILIP BRANDON BROUSSARD I CIT (NPI 1285405159) is an individual case manager/care coordinator provider in Shreveport, Louisiana, licensed in Louisiana (CIT-5418) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1285405159
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NamePHILIP BRANDON BROUSSARD ICredential: CIT
Location Address7330 FERN AVE STE 1003Shreveport, LA 71105-4988
Mailing Address7330 Fern Ave Ste 1003Shreveport, LA 71105-4988 · (318) 550-5490 · Fax (318) 550-5489
Phone(318) 550-5490
Fax(318) 550-5489
Sole ProprietorYes
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1285405159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in LA · CIT-5418
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
7330 FERN AVE STE 1003, Shreveport, LA 71105
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Other Providers at the Same Location NPPES 6

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

JENNIFER DERRICK
Counselor (Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (318) 759-7876
NEW HOPE ADDICTION RECOVERY, LLC
Family Medicine (Addiction Medicine)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (318) 550-5490
WHITNEY VOSS LLC
Counselor (Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (318) 801-3200
ELIZABETH FRENCH BRIGHT APRN
Nurse Practitioner (Psychiatric/Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (318) 550-5490
NEW HOPE ADDICTION RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (337) 550-5490
TIFFANY NICOLE SHATTO PLPC
Counselor (Mental Health)
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105
Caddo Parish (318) 550-5490

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 Philip Broussard's NPI number?

The NPI number for Philip Broussard is 1285405159. It was assigned to this individual provider in the NPPES registry on January 10, 2024.

Where is Philip Broussard located?

Philip Broussard practices at 7330 Fern Ave Ste 1003, Shreveport, LA 71105. The listed phone number is (318) 550-5490.

What is Philip Broussard's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Philip Broussard was last updated on January 10, 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.