| Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC | |
|
509 E. Milsap Road, Suite 9, Fayetteville, AR 72703 | |
| (479) 879-7038 | |
| (479) 340-0500 |
| Full Name | Jerriod Nicholas Broadnax |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 509 E. Milsap Road, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427116581 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ketamine And Iv Therapy Clinic Of Nwa Llc | 6507308707 | 11 |
| Pure Balance Of Nwa Pllc | 6901344928 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC 2926 N. Susan Carol Lane, Fayetteville, AR 72703 Ph: (479) 445-8142 | Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC 509 E. Milsap Road, Suite 9, Fayetteville, AR 72703 Ph: (479) 879-7038 |
Nancy S Kay, RN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2894 N Mckee Cir Ste 116, Fayetteville, AR 72703 Phone: 479-225-1111 | |
Jaclyn Mcmillan, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2153 E Joyce Blvd, Suite 201, Fayetteville, AR 72703 Phone: 479-575-9471 Fax: 479-587-9392 | |
Alexandra Gackle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 S College Ave Ste 4a, Fayetteville, AR 72701 Phone: 913-669-8795 | |
Abigail Patty, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3822 N Parkview Dr, Fayetteville, AR 72703 Phone: 479-367-2866 Fax: 479-332-5356 | |
Ms. Lois Faye Jacoby, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Bldg 44, Fayetteville, AR 72703 Phone: 479-444-5078 | |
Robert Lee Walton Iii, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 720-217-7596 | |
Lenore Henderson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4253 N Crossover Rd, Fayetteville, AR 72703 Phone: 479-443-6496 Fax: 479-443-2519 |