DEBORAH MARYAM BROUSSEAU (NPI# 1689135782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689135782 |
| Entity Type | Individual |
| Full Name | DEBORAH MARYAM BROUSSEAU |
| Practice Address |
12890 Quinta Way Desert Hot Springs CA 92240-4852 |
| Practice Telephone | 7603292959 |
| Mailing Telephone | 7603292959 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
12890 QUINTA WAY |
| City | DESERT HOT SPRINGS |
| State | CA |
| Zip Code | 92240-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043569965 | Jacquelyn Y. Arias | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240 | 2012-09-06 |
| 1568087252 | Maria Louise Lynch | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-06-09 |
| 1811510019 | Maxine Beltran Agregado | Nurse's Aide | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-05-21 |
| 1508489048 | Karina Vazquez Cazarez | Nurse's Aide | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-05-19 |
| 1497389852 | Sophia Santucci | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-02-25 |
| 1285274191 | Tina Mccoy | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-01-08 |
| 1194362004 | Rita Rose Hilliard | Licensed Vocational Nurse | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2019-12-10 |
| 1902447931 | Alissa Cress | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2019-10-01 |
| 1003465444 | Deeana A Sawyer | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2019-09-09 |
| 1700446168 | Cassandra Patricia Hessler | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929182 | Dominique Thornhill | Licensed Vocational Nurse | 13760 Mark Dr, #a, Desert Hot Springs, CA 92240 | 2017-08-28 |
| 1891096178 | Lengpea Yang | Social Worker | 14080 Palm Dr., Ste E, Desert Hot Springs, CA 92240 | 2010-11-03 |
| 1609106285 | Family Services of The Desert | Counselor | 14080 Palm Drive, Ste. E, Dhs, CA 92240 | 2010-01-05 |
| 1922292283 | Sherri Langhorne | Pediatrics | 66675 Pierson Boulevard, Desert Hot Springs, CA 92240 | 2007-08-30 |
| 1609913409 | Angel View Cripppled Childrens Foundation Inc | Custodial Care Facility | 13785 Via Real, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1295872034 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 12840 Cactus Drive, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1477690238 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66863 Flora Avenue, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1922145796 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66770 Hacienda Blvd, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1093852899 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66811 Fourth Street, Desert Hot Springs, CA 92240 | 2007-01-31 |
| 1376680140 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 66145 Granada Street, Desert Hot Springs, CA 92240 | 2007-01-31 |
| Find all providers in zip 92240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043569965 | Jacquelyn Y. Arias | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240 | 2012-09-06 |
| 1295997864 | Joi R Grier | Counselor | 64212 Appalachian St, Desert Hot Springs, CA 92240-7704 | 2008-06-25 |
| 1770182917 | Arla Provo | Counselor | 13525 Cielo Azul Way, Desert Hot Springs, CA 92240-6235 | 2020-10-19 |
| 1235756164 | Mitchell Greenwald | Counselor | 7885 Annandale Ave, Desert Hot Springs, CA 92240-1419 | 2020-06-26 |
| 1568087252 | Maria Louise Lynch | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-06-09 |
| 1194344176 | Kirbie Paige Beltran | Counselor | 13525 Cielo Azul Way, Desert Hot Springs, CA 92240-6235 | 2020-04-10 |
| 1497389852 | Sophia Santucci | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-02-25 |
| 1871126896 | Lester Clint Worthington | Counselor | 14320 Palm Dr, Desert Hot Springs, CA 92240-6874 | 2020-02-18 |
| 1114550357 | Morgan Seth Pricer | Counselor | 7885 Annandale Ave, Desert Hot Springs, CA 92240-1419 | 2020-02-17 |
| 1285274191 | Tina Mccoy | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2020-01-08 |
| Find all providers in DESERT HOT SPRINGS | ||||
| City | DESERT HOT SPRINGS |
| Zip Code | 92240 |
Please comment or provide details below to improve the information on DEBORAH MARYAM BROUSSEAU.
| 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.