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MRS. JENNY LEE BROADDUS LPC-S
NPI 1336644582
Counselor - Professional in Beaumont, TX

Active since March 29, 2018
8150 N. MAJOR DR., BEAUMONT, TX 77706(409) 898-0702 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jenny Lee Broaddus Lpc-s NPPES

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

MRS. JENNY LEE BROADDUS LPC-S (NPI 1336644582) is an individual professional provider in Beaumont, Texas, licensed in Texas (58968) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1336644582
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNY LEE BROADDUSCredential: LPC-S
Location Address8150 N. MAJOR DR.Beaumont, TX 77706
Mailing Address3160 Brownstone PlBeaumont, TX 77706-7449 · (409) 504-2545
Phone(409) 898-0702
Sole ProprietorNo
Enumeration DateMarch 29, 2018
✔ NPI 1336644582 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 TX · 58968
8150 N. MAJOR DR., Beaumont, TX 77706
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Other Names 1

Former Name (1)Jenny Lee Fuller

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 Jenny Broaddus's NPI number?

The NPI number for Jenny Broaddus is 1336644582. It was assigned to this individual provider in the NPPES registry on March 29, 2018. The provider is also known as Jenny Lee Fuller.

Where is Jenny Broaddus located?

Jenny Broaddus practices at 8150 N. Major Dr., Beaumont, TX 77706. The listed phone number is (409) 898-0702.

What is Jenny Broaddus'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 Jenny Broaddus was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.