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

Shadisha K Bennett Brodde, LPC

Individual provider Professional Counselor · NPI 1477826022

Shadisha K Bennett Brodde, LPC is a Professional Counselor in Saint Augustine, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2012.

Licensed in
FL, IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

910 Golden Lake Loop
Saint Augustine, FL 32084-5877
Phone: (478) 387-5582
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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 · Licence MH18303 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence 178005880 (IL)

Record details

NPI number1477826022
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 13, 2012
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

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