Latricia Broaddus is a Aylett, Virginia based nurse practitioner with 4 years of experience in Psych/Mental Health. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Latricia Broaddus is 0024181570 for Psych/Mental Health in Virginia. Her current practice location is 5833 Richmond Tappahannock Hwy Ste 106b, Aylett. Patients can reach her at 042-230-0298 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1003383688. Latricia Broaddus provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Latricia Broaddus speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294132148
Enrollment ID:
I20210921000794
NPI Number:
1003383688
NPI Enumeration Date:
31 Oct, 2018
NPI Last Update On:
06 Mar, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latricia Broaddus are as mentioned below.
License Number
Specialization
State
Status
0024181570
Psych/Mental Health
Virginia
Primary
In Home Supportive Care
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Latricia Broaddus is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Old Towne Counseling Services Llc (7618149865)
14
Other Medical Identifiers:
Other legacy medical identifiers associated with Latricia Broaddus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0732762767
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Latricia Broaddus Po Box 13, Saint Stephens Church, Virginia
Zip:
23148-0013
Phone Number:
804-664-2271
Patients can reach Latricia Broaddus at 5833 Richmond Tappahannock Hwy Ste 106b, Aylett, Virginia or can call to book an appointment on 042-230-0298.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.