MS. LATISHA J BROOMFIELD
NPI 1477263044
Counselor - Mental Health in Charlotte, NC

Active since December 05, 2022
769 N WENDOVER RD, CHARLOTTE, NC 28211(704) 376-7180 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Latisha J Broomfield NPPES

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

MS. LATISHA J BROOMFIELD (NPI 1477263044) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (123456789) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1477263044
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LATISHA J BROOMFIELD
Location Address769 N WENDOVER RDCharlotte, NC 28211-1118
Mailing Address769 N Wendover RdCharlotte, NC 28211-1118 · (704) 376-7180
Sole ProprietorYes
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1477263044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 123456789
769 N WENDOVER RD, Charlotte, NC 28211

Other Identifiers 2

Other24578901NC · Blue Cross Blue Shield
Medicaid125369557NC

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.

Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Psychologist
769 N WENDOVER RD
CHARLOTTE, NC 28211
Community/Behavioral Health
769 N WENDOVER RD
CHARLOTTE, NC 28211
Social Worker (Clinical)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Social Worker (Clinical)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Counselor (Professional)
769 N WENDOVER RD
CHARLOTTE, NC 28211
Psychiatry & Neurology (Child & Adolescent Psychiatry)
769 N WENDOVER RD
CHARLOTTE, NC 28211

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 Latisha Broomfield's NPI number?

The NPI number for Latisha Broomfield is 1477263044. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Latisha Broomfield located?

Latisha Broomfield practices at 769 N Wendover Rd, Charlotte, NC 28211. The listed phone number is (704) 376-7180.

What is Latisha Broomfield'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 Latisha Broomfield was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.