Keitha Latrice Broyles
Keitha Latrice Broyles is a Mental Health Counselor in Millington, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
5281 Navy RdMillington, TN 38053-2535
Phone: (901) 873-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1649792128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2017 |
| Last updated in NPPES | July 17, 2017 |
| Mailing address | 4375 Highway 51 N Apt 25-103, Horn Lake, MS 38637-8720 |
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MS. Kimberly Anita Banks
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Mrs. Bonnie Lou Barakat-Smith, MS
5281 Navy Rd, Millington, TN 38053-2535 · (901) 873-0305
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