IndividualActive
Willis Broadway
NPI 1063869998 · Mental Health Counselor · Monroe, LA
Willis Broadway is a Mental Health Counselor provider in Monroe, LA (NPI 1063869998).
Provider details
- NPI number
- 1063869998
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1009 S 10th St
Monroe, LA 71202-2925
Phone: (318) 791-0533
Street-level locationGet directions
Mailing address
1009 S 10th St
Monroe, LA 71202-2925
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2016-05-20
Frequently asked questions
- What is Willis Broadway's NPI number?
- Willis Broadway's National Provider Identifier (NPI) is 1063869998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willis Broadway's specialty?
- Willis Broadway is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Willis Broadway located?
- Willis Broadway's practice location on file with NPPES is 1009 S 10th St, Monroe, LA 71202-2925.
- What is Willis Broadway's phone number?
- The practice phone number listed in the NPPES registry for Willis Broadway is (318) 791-0533.
- Is Willis Broadway's NPI active?
- Yes — Willis Broadway's NPI (1063869998) is active in the NPPES registry as of the last update on 2016-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.