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

Mr. Broderick Webster Sr., LPC

Individual provider Mental Health Counselor · NPI 1124897996

Mr. Broderick Webster Sr., LPC is a Mental Health Counselor in Bolivar, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

793 Tennessee St
Bolivar, TN 38008-2441
Phone: (731) 228-9068
Fax: (901) 425-9773
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1124897996
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address844 Sheridan St, Memphis, TN 38107-4611

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