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KEITHA LATRICE BROYLES
NPI 1649792128
Counselor - Mental Health in Millington, TN

Active since July 17, 2017
5281 NAVY RD, MILLINGTON, TN 38053(901) 873-0305 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keitha Latrice Broyles NPPES

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

KEITHA LATRICE BROYLES (NPI 1649792128) is an individual mental health provider in Millington, Tennessee and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1649792128
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKEITHA LATRICE BROYLES
Location Address5281 NAVY RDMillington, TN 38053-2535
Mailing Address4375 Highway 51 N Apt 25-103Horn Lake, MS 38637-8720 · (901) 371-7185
Phone(901) 873-0305
Sole ProprietorYes
Enumeration DateJuly 17, 2017
✔ NPI 1649792128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5281 NAVY RD, Millington, TN 38053
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Other Providers at the Same Location NPPES 5

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

DR. NARICIA MCGOWEN FUTRELL LCSW
Social Worker (Clinical)
5281 NAVY RD
MILLINGTON, TN 38053
Shelby County (901) 443-8895
PROFESSIONAL CARE SERVICES OF WEST TN INC
Pharmacy (Long Term Care Pharmacy)
5281 NAVY RD
MILLINGTON, TN 38053
Shelby County (901) 873-0305
SHERRIE R SERCA MSN, FNP-BC
Nurse Practitioner (Family)
5281 NAVY RD
MILLINGTON, TN 38053
Shelby County (901) 475-3584
CHASITY DANIELLE RICHARDSON LPN
Licensed Practical Nurse
5281 NAVY RD
MILLINGTON, TN 38053
Shelby County (901) 873-0305
MRS. BONNIE LOU BARAKAT-SMITH MS
Counselor (Mental Health)
5281 NAVY RD
MILLINGTON, TN 38053
Shelby County (901) 873-0305

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 Keitha Broyles's NPI number?

The NPI number for Keitha Broyles is 1649792128. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Keitha Broyles located?

Keitha Broyles practices at 5281 Navy Rd, Millington, TN 38053. The listed phone number is (901) 873-0305.

What is Keitha Broyles'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 Keitha Broyles was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.