Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sherry Broadwell PHD LLC

Organization Psychologist · NPI 1619583036

Sherry Broadwell PHD LLC is a Psychologist in Gainesville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

517B Green St
Gainesville, GA 30501
Phone: (706) 949-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1619583036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynette Clark — Credentialing Manager · (770) 339-7667
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing addressPo Box 716, Clarkesville, GA 30523-0012

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