MRS. KELLY L BRODA (NPI# 1679949838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679949838 |
| Entity Type | Individual |
| Full Name | MRS. KELLY L BRODA |
| Credential | L.G.P.C |
| Practice Address |
6501 N Charles St Towson MD 21204-6819 |
| Practice Telephone | 4109383821 |
| Mailing Telephone | 4109383821 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LGP6409 | MD | Behavioral Health & Social Service Providers |
| Street Address |
6501 N CHARLES ST |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354017 | Maureen Ifeacho | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2020-04-11 |
| 1407485907 | Kimberly Anne Toepfer | Social Worker | 6501 N Charles St, Towson, MD 21204-6819 | 2020-04-06 |
| 1457982258 | Sara Pearl Muller | Speech-Language Pathologist | 6501 N Charles St, Towson, MD 21204-6819 | 2020-01-30 |
| 1891334595 | Ashley Maher | Psychologist | 6501 N Charles St, Towson, MD 21204-6819 | 2019-12-27 |
| 1932746062 | Ayorinde Oyeneyin | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2019-12-09 |
| 1700422177 | Ubachi Nonye Chukwuzubelu | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2019-11-20 |
| 1245874361 | Naveed Sultan Bajwa | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2019-10-31 |
| 1215590229 | Heather Bates Donatelli | Speech-Language Pathologist | 6501 N Charles St, Towson, MD 21204-6819 | 2019-04-16 |
| 1659838308 | Jessica Pianko | Social Worker | 6501 N Charles St, Towson, MD 21204-6819 | 2019-02-28 |
| 1922587120 | Daramola Akindele Ayoade | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1760099691 | Allison R Jensen | Counselor | 7600 Osler Dr Ste 206, Towson, MD 21204-7701 | 2020-09-24 |
| 1891303756 | Dawn L Byrne | Counselor | 11 Goucher Woods Ct, Towson, MD 21286-5658 | 2020-07-16 |
| 1013537273 | Bright Star Counseling and Consulting, LLC | Counselor | 200 E Joppa Rd Ste 402, Towson, MD 21286-3109 | 2020-04-17 |
| 1285273979 | Lisa Cooper-lucas | Counselor | 40 W Chesapeake Ave Ste 507, Towson, MD 21204-4892 | 2019-12-30 |
| 1295379246 | Jennifer West | Counselor | 320 E Towsontown Blvd Ste 201, Towson, MD 21286-5331 | 2019-11-03 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1417508953 | Resonate Counseling Services | Counselor | 8415 Bellona Ln Ste 217, Towson, MD 21204-2066 | 2019-09-26 |
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1821656109 | Maria Karolenko | Counselor | 8501 La Salle Rd Ste 115, Towson, MD 21286-5919 | 2019-06-03 |
| Find all providers in TOWSON | ||||
Please comment or provide details below to improve the information on MRS. KELLY L BRODA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.