| Mr Daniel Thomas Broughton Jr, LPC | |
|
5562 Continental Rd, Grand Blanc, MI 48439-9106 | |
| (810) 869-1015 | |
| Not Available |
| Full Name | Mr Daniel Thomas Broughton Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5562 Continental Rd, Grand Blanc, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205188877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012597 (Michigan) | Primary |
| Entity Name | Daniel T Broughton Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144041567 PECOS PAC ID: 7810421823 Enrollment ID: O20241113004265 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Thomas Broughton Jr, LPC 5562 Continental Rd, Grand Blanc, MI 48439-9106 Ph: (810) 869-1015 | Mr Daniel Thomas Broughton Jr, LPC 5562 Continental Rd, Grand Blanc, MI 48439-9106 Ph: (810) 869-1015 |
Robyn Heiler, Counselor Medicare: Accepting Medicare Assignments Practice Location: 8341 Office Park Dr Ste E, Grand Blanc, MI 48439 Phone: 989-413-6110 |
Paxton Rowley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8285 S Saginaw St Ste 102, Grand Blanc, MI 48439 Phone: 810-626-5191 |
Kim Ngoc T Nguyen, LBSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3104 Kettering Hts, Grand Blanc, MI 48507 Phone: 316-300-0407 |
Susan E Smallwood, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7227 Fenton Rd, Grand Blanc, MI 48439 Phone: 810-771-4074 Fax: 810-866-4450 |
Shannon S. Wysinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5360 Moceri Ln, Grand Blanc, MI 48439 Phone: 810-240-1849 |
Tina Jaeger, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2290 E Hill Rd Ste 103, Grand Blanc, MI 48439 Phone: 810-771-8629 |
Mrs. Suzanne Shifflett Taylor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9460 S Saginaw St, Ste D, Grand Blanc, MI 48439 Phone: 810-695-9466 Fax: 810-695-4311 |