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

Farisai Dix-Broughton

Individual provider Mental Health Counselor · NPI 1780464867

Farisai Dix-Broughton is a Mental Health Counselor in Scottdale, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

610 Kentucky St
Scottdale, GA 30079-1124
Phone: (770) 988-7470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence APC008628 (GA)

Record details

NPI number1780464867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address610 Kentucky St, Scottdale, GA 30079-1124

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