Provider Demographics
NPI:1669366738
Name:ALLISON BROSCHART COUNSELING, LLC
Entity type:Organization
Organization Name:ALLISON BROSCHART COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROSCHART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-537-0519
Mailing Address - Street 1:163 HOLLINGTON DR NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8717
Mailing Address - Country:US
Mailing Address - Phone:803-537-0519
Mailing Address - Fax:
Practice Address - Street 1:113 LONGWOOD DR SW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4511
Practice Address - Country:US
Practice Address - Phone:256-886-9443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty