La' Toya Broughton

NPI #1558182063 in Tyler, Texas

Provider Information

NPI Number: 1558182063
Entity Type: Individual
Name: La' Toya Broughton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 18, 2024
Last Updated: Oct 18, 2024

Practice Location

Address: 2865 COUNTY ROAD 413
City: Tyler
State: Texas
ZIP Code: 75704-4211
Phone: (903) 213-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X
Contractor	171W00000X
Specialist - Research Study — Research Study	1744R1102X
Case Manager/Care Coordinator	171M00000X	Primary

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