Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Willis Broadway

Individual provider Mental Health Counselor · NPI 1063869998

Willis Broadway is a Mental Health Counselor in Monroe, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1009 S 10th St
Monroe, LA 71202-2925 Not confirmed with CMS for 10 years — call before visiting
Phone: (318) 791-0533
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 number1063869998
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016

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