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TAMBGRA JUANETTE BROADAWAY LPC
NPI 1730482852
Counselor in Charlotte, NC

Active since December 11, 2010
1200 E MOREHEAD ST STE 20L, CHARLOTTE, NC 28204(704) 578-7543(704) 578-7543 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tambgra Juanette Broadaway Lpc NPPES

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

TAMBGRA JUANETTE BROADAWAY LPC (NPI 1730482852) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (8319) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1730482852
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAMBGRA JUANETTE BROADAWAYCredential: LPC
Location Address1200 E MOREHEAD ST STE 20LCharlotte, NC 28204-2872
Mailing Address1200 E Morehead St Ste 20lCharlotte, NC 28204-2872 · (704) 578-7543
Phone(704) 578-7543
Fax(704) 578-7543
Sole ProprietorYes
Enumeration DateDecember 11, 2010
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1730482852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 8319
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1200 E MOREHEAD ST STE 20L, Charlotte, NC 28204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

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 Tambgra Broadaway's NPI number?

The NPI number for Tambgra Broadaway is 1730482852. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Where is Tambgra Broadaway located?

Tambgra Broadaway practices at 1200 E Morehead St Ste 20L, Charlotte, NC 28204. The listed phone number is (704) 578-7543.

What is Tambgra Broadaway's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Tambgra Broadaway accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Tambgra Broadaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tambgra Broadaway was last updated on February 1, 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.