Broades, Renita L

Broades, Renita L is an sole proprietor health care provider with primary practice located at 301 W Main St Ste 328 , Ardmore OK 73401-6322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Broades, Renita L can be contacted via phone (580) 220-4011.

Contact Information

Primary practice address
301 W Main St Ste 328 Ardmore OK 73401-6322
Phone: (580) 220-4011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2643 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720287741
LBN Legal business name Broades, Renita L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2007
Last updated Jun 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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