MS. CONNIE PEARL BROUSSARD LCSW, LMSW
NPI 1790953180
Counselor - Professional in Lafayette, LA

Active since February 19, 2008
302 DULLES DR, SUITE 1, LAFAYETTE, LA 70506(337) 262-5870(337) 262-1272 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Connie Pearl Broussard Lcsw, Lmsw NPPES

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

MS. CONNIE PEARL BROUSSARD LCSW, LMSW (NPI 1790953180) is an individual professional provider in Lafayette, Louisiana, licensed in Louisiana (LCSW 9124) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1790953180
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CONNIE PEARL BROUSSARDCredential: LCSW, LMSW
Location Address302 DULLES DR, SUITE 1Lafayette, LA 70506-3008
Mailing Address302 Dulles Dr, Suite 1Lafayette, LA 70506-3008 · (337) 262-5870 · Fax (337) 262-1272
Fax(337) 262-1272
Sole ProprietorNo
Enumeration DateFebruary 19, 2008
Last NPPES UpdateFebruary 13, 2012
NPI 1790953180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in LA · LCSW 9124
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LMSW 9124 (LA)
302 DULLES DR, Lafayette, LA 70506

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
302 DULLES DR
LAFAYETTE, LA 70506
Counselor (Addiction (Substance Use Disorder))
302 DULLES DR, SUITE 1
LAFAYETTE, LA 70506
Psychologist (Clinical)
302 DULLES DR
LAFAYETTE, LA 70506
Counselor (Professional)
302 DULLES DR
LAFAYETTE, LA 70506
Social Worker (Clinical)
302 DULLES DR
LAFAYETTE, LA 70506
Registered Nurse (Psychiatric/Mental Health)
302 DULLES DR
LAFAYETTE, LA 70506
Clinic/Center (Mental Health (Including Community Mental Health Center))
302 DULLES DR
LAFAYETTE, LA 70506
Counselor (Mental Health)
302 DULLES DR
LAFAYETTE, LA 70506

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 Connie Broussard's NPI number?

The NPI number for Connie Broussard is 1790953180. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Connie Broussard located?

Connie Broussard practices at 302 Dulles Dr Suite 1, Lafayette, LA 70506. The listed phone number is (337) 262-5870.

What is Connie Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Connie Broussard was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.