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BROKEN ROADS COUNSELING LLC
NPI 1487494191
Social Worker - Clinical in Wellborn, FL

Active since May 30, 2024
3519 168TH ST, WELLBORN, FL 32094(386) 249-5976 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broken Roads Counseling Llc NPPES

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

BROKEN ROADS COUNSELING LLC (NPI 1487494191) is a healthcare organization registered as a clinical in Wellborn, Florida and active in the NPI registry since May 2024. The organization lists Stacy Brandon, Owner, as its authorized official.

NPPES Registry Identity

NPI1487494191
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBROKEN ROADS COUNSELING LLC
Location Address3519 168TH STWellborn, FL 32094-3017
Mailing Address3519 168th StWellborn, FL 32094-3017 · (386) 249-5976
Phone(386) 249-5976
Organization SubpartNo
Authorized OfficialStacy BrandonOwner · (386) 249-5976
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1487494191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3519 168TH ST, Wellborn, FL 32094
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Broken Roads Counseling LLC's NPI number?

The NPI number for Broken Roads Counseling LLC is 1487494191. It was assigned to this organization in the NPPES registry on May 30, 2024.

Where is Broken Roads Counseling LLC located?

Broken Roads Counseling LLC is located at 3519 168th St, Wellborn, FL 32094. The listed phone number is (386) 249-5976.

What is Broken Roads Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Broken Roads Counseling LLC was last updated on May 30, 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.