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

Wendy Dawn Broadstreet

Individual provider Mental Health Counselor · NPI 1962205062

Wendy Dawn Broadstreet is a Mental Health Counselor in Clemmons, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

6621 Springfield Village Ln
Clemmons, NC 27012-8996
Phone: (336) 703-7921
Show map & directions

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

Additional practice locations (1)

  • 903 Northeast Dr, Davidson, NC 28036-7416 — (704) 889-9804

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A22536 (NC)

Record details

NPI number1962205062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026

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