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JIMMY DEAN BRODERICK MS, LMHC
NPI 1962070136
Counselor - Professional in Winder, GA

Active since June 15, 2021
498 VALLEY VIEW DR, WINDER, GA 30680(386) 855-5444 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jimmy Dean Broderick Ms, Lmhc NPPES

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

JIMMY DEAN BRODERICK MS, LMHC (NPI 1962070136) is an individual professional provider in Winder, Georgia, licensed in Florida (19022) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1962070136
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJIMMY DEAN BRODERICKCredential: MS, LMHC
Location Address498 VALLEY VIEW DRWinder, GA 30680-1421
Mailing Address498 Valley View DrWinder, GA 30680-1421 · (386) 855-5444
Phone(386) 855-5444
Sole ProprietorYes
Enumeration DateJune 15, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1962070136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · 19022
498 VALLEY VIEW DR, Winder, GA 30680
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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 Jimmy Broderick's NPI number?

The NPI number for Jimmy Broderick is 1962070136. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Jimmy Broderick located?

Jimmy Broderick practices at 498 Valley View Dr, Winder, GA 30680. The listed phone number is (386) 855-5444.

What is Jimmy Broderick'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 Jimmy Broderick was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.