SONYA BROADUS, LPC PC
NPI 1619554623
Substance Abuse Rehabilitation Facility in Spanish Fort, AL

Active since March 25, 2021
10654 US HIGHWAY 31 STE B, SPANISH FORT, AL 36527(251) 800-1166 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonya Broadus, Lpc Pc NPPES

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

SONYA BROADUS, LPC PC (NPI 1619554623) is a healthcare organization registered as a substance abuse rehabilitation facility in Spanish Fort, Alabama and active in the NPI registry since March 2021. The organization lists Kacy Marie East, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619554623
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSONYA BROADUS, LPC PC
Location Address10654 US HIGHWAY 31 STE BSpanish Fort, AL 36527-8691
Mailing Address10654 Us Highway 31 Ste BSpanish Fort, AL 36527-8691 · (251) 800-1166 · Fax (251) 308-1591
Organization SubpartNo
Authorized OfficialKacy Marie EastOffice Manager · (251) 800-1166
Enumeration DateMarch 25, 2021
NPPES CertifiedNovember 3, 2020
NPI 1619554623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
10654 US HIGHWAY 31 STE B, Spanish Fort, AL 36527

Other Identifiers 1

Other3403AL · License

Other Providers at the Same Location NPPES

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

Counselor (Professional)
10654 US HIGHWAY 31 STE B
SPANISH FORT, AL 36527

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 Sonya Broadus, Lpc PC's NPI number?

The NPI number for Sonya Broadus, Lpc PC is 1619554623. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is Sonya Broadus, Lpc PC located?

Sonya Broadus, Lpc PC is located at 10654 Us Highway 31 Ste B, Spanish Fort, AL 36527. The listed phone number is (251) 800-1166.

What is Sonya Broadus, Lpc PC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Sonya Broadus, Lpc PC was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.