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

Mr. Travis Deonta Broaddus

Individual provider Mental Health Counselor · NPI 1851015077

Mr. Travis Deonta Broaddus is a Mental Health Counselor in Columbia, Maryland. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

7135 Minstrel Way Ste 204-M2
Columbia, MD 21045-5255
Phone: (301) 357-0038
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1851015077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address7135 Minstrel Way Ste 204-M2, Columbia, MD 21045-5255

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