Angela Broadnax

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1457089682

Angela Broadnax is a Mental Health Clinic/Center (Including Community Mental Health Center) in Macclenny, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since: 2022

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Practice location Address checks out

505 Matecumbe Ct
Macclenny, FL 32063-8832
Phone: (904) 327-1135

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Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary)	Taxonomy 261QM0801X

Record details

NPI number	1457089682
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	August 15, 2022
Last updated in NPPES	August 15, 2022
Certification date	August 15, 2022
Mailing address	505 Matecumbe Ct, Macclenny, FL 32063-8832