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

Alexandrea Mae Broussard

Individual provider Counselor · NPI 1619635612

Alexandrea Mae Broussard is a Counselor in Lake Charles, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

1202 Kirkman St Ste C
Lake Charles, LA 70601-5391
Phone: (337) 990-5305
Fax: (337) 990-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Versailles Blvd, Alexandria, LA 71303-2351 — (318) 449-4474

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9273 (LA)
Counselor Taxonomy 101Y00000X · Licence PLC9273 (LA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PLC9273 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619635612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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