Monique Broussard, is a
Counselor - Mental Health based in Water Mill, New York. Monique Broussard is licensed to practice in * (Not Available) (license number ) and current practice location is
760 Montauk Hwy, Water Mill, New York. can be reached at office (for appointments etc.) via phone at
(347) 754-7952.
NPI number for Monique Broussard is 1841172855 and current mailing address is 760 Montauk Hwy, Water Mill, New York.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1841172855.
Healthcare Provider's Profile
| Full Name | Monique Broussard |
|---|
| Gender | |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 760 Montauk Hwy, Water Mill, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841172855
- Provider Enumeration Date: 07/22/2025
- Last Update Date: 07/22/2025
Medical Identifiers
Medical identifiers for Monique Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841172855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 102L00000X | Psychoanalyst | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monique Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Monique Broussard,
760 Montauk Hwy,
Water Mill, NY 11976-2600
Ph: () - | Monique Broussard,
760 Montauk Hwy,
Water Mill, NY 11976-2600
Ph: (347) 754-7952 |
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