IndividualActive
Alexis Broach
NPI 1548968191 · Mental Health Counselor · Gotha, FL
Provider details
- NPI number
- 1548968191
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
719 Little Hampton Ln
Gotha, FL 34734-4713
Phone: (205) 789-5756
Approximate (ZIP-level) locationGet directions
Mailing address
719 Little Hampton Ln
Gotha, FL 34734-4713
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.