DESIRAE BROUILLARD MA
NPI 1750723656
Counselor in Johnston, RI

Q: What is Desirae Brouillard's NPI number?

The NPI number for Desirae Brouillard is 1750723656. It was assigned to this individual provider in the NPPES registry on July 22, 2013. The provider is also known as Desirae Sovet Ma.

Q: What is Desirae Brouillard's specialty?

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

Active since July 22, 2013

1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100(401) 861-8696 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Desirae Brouillard Ma NPPES

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

DESIRAE BROUILLARD MA (NPI 1750723656) is an individual counselor in Johnston, Rhode Island and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1750723656

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDESIRAE BROUILLARDCredential: MA

Location Address1443 HARTFORD AVEJohnston, RI 02919-3224

Mailing Address1443 Hartford AveJohnston, RI 02919-3224 · (401) 273-8100 · Fax (401) 861-8696

Phone(401) 273-8100

Fax(401) 861-8696

Sole ProprietorNo

Enumeration DateJuly 22, 2013

Last NPPES UpdateMay 17, 2016

✔ NPI 1750723656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

1443 HARTFORD AVE, Johnston, RI 02919

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Other Names 1

Former Name (1)Desirae Sovet Ma

Other Identifiers 2

Medicaid1750723656RI

MedicaidDB98591RI

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.

KAREN GUY RN

Registered Nurse

1443 HARTFORD AVE, GATEWAY HEALTHCARE INC
JOHNSTON, RI 02919

Providence County (401) 273-8700

JENNIFER GORDON RN

Registered Nurse (Psychiatric/Mental Health)