FARISAI DIX-BROUGHTON
NPI 1780464867
Counselor - Mental Health in Scottdale, GA

Active since October 04, 2023
610 KENTUCKY ST, SCOTTDALE, GA 30079(770) 988-7470 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Farisai Dix-broughton NPPES

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

FARISAI DIX-BROUGHTON (NPI 1780464867) is an individual mental health provider in Scottdale, Georgia, licensed in Georgia (APC008628) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1780464867
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFARISAI DIX-BROUGHTON
Location Address610 KENTUCKY STScottdale, GA 30079-1124
Mailing Address610 Kentucky StScottdale, GA 30079-1124 · (770) 988-7470
Sole ProprietorNo
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1780464867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · APC008628
610 KENTUCKY ST, Scottdale, GA 30079

Other Names 1

Professional Name (2)Farisai Broughton

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.

Counselor (Mental Health)
610 KENTUCKY ST
SCOTTDALE, GA 30079
Counselor (Professional)
610 KENTUCKY ST
SCOTTDALE, GA 30079
Social Worker (Clinical)
610 KENTUCKY ST
SCOTTDALE, GA 30079
Psychologist (Clinical)
610 KENTUCKY ST
SCOTTDALE, GA 30079
Marriage & Family Therapist
610 KENTUCKY ST
SCOTTDALE, GA 30079
Psychologist
610 KENTUCKY ST
SCOTTDALE, GA 30079
Social Worker (Clinical)
610 KENTUCKY ST
SCOTTDALE, GA 30079
Social Worker (Clinical)
610 KENTUCKY ST
SCOTTDALE, GA 30079

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 Farisai Dix-broughton's NPI number?

The NPI number for Farisai Dix-broughton is 1780464867. It was assigned to this individual provider in the NPPES registry on October 4, 2023. The provider is also known as Farisai Broughton.

Where is Farisai Dix-broughton located?

Farisai Dix-broughton practices at 610 Kentucky St, Scottdale, GA 30079. The listed phone number is (770) 988-7470.

What is Farisai Dix-broughton'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 Farisai Dix-broughton was last updated on October 4, 2023. 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.