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

Kristne Danielle Broadway, LPC

Individual provider Professional Counselor · NPI 1255875373

Kristne Danielle Broadway, LPC is an Undefined Non-Physician Type (Specify) in Smyrna, Georgia. Qualified in 2016, 10 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

400 Technology Ct SE Ste J
Smyrna, GA 30082-5237
Phone: (770) 431-2354
Fax: (770) 436-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012115 (GA)

Record details

NPI number1255875373
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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