CHARLES BROOME (NPI# 1861648313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861648313 |
| Entity Type | Individual |
| Full Name | CHARLES BROOME |
| Credential | LMFT |
| Practice Address |
525 E 15th St Panama City FL 32405-5412 |
| Practice Telephone | 8505224480 |
| Practice Fax Number | 8509146281 |
| Mailing Telephone | 8505224480 |
| Mailing Fax Number | 8509146281 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT 289 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720129992 | Charles Brandon Broome | Orthopaedic Surgery | 325 E Sonterra Blvd Ste 120, San Antonio, TX 78258-4055 | 2007-02-09 |
| Street Address |
525 E 15TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448615 | Paul H Wurst | Psychiatry & Neurology | 525 E 15th St, Panama City, FL 32405-5412 | 2005-06-22 |
| 1093342552 | Roseth E Kyerematen | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-25 |
| 1912532144 | Pamela E. Wallace | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-09 |
| 1609419936 | Timothy Arrant | Counselor | 525 E 15th St, Panama City, FL 32405-5400 | 2019-10-18 |
| 1801440763 | Jennifer Sue Davis | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-07-30 |
| 1598327082 | Lydia Munoz | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-07-03 |
| 1831750066 | Antonio L Campbell | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-27 |
| 1831757715 | Amanda Nicole Odell | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-05 |
| 1396203824 | Victoria Augusta Terry | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-03-04 |
| 1891250296 | Luke Abbey | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326336108 | Linda Jean Bullard | Marriage & Family Therapist | 200 E Beach Dr, Panama City, FL 32401-3117 | 2011-07-14 |
| 1083806244 | Daniel Gerard Kitzerow | Marriage & Family Therapist | 218 Forest Park Cir, Panama City, FL 32405 | 2007-08-13 |
| 1386625648 | Shannon Wood Williams Lmft, Inc | Marriage & Family Therapist | 730 Jenks Ave, Panama City, FL 32401-2436 | 2005-11-12 |
| 1225484389 | Teddy Randall | Marriage & Family Therapist | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-05-09 |
| 1497915938 | Shannon Gail Wood-williams | Marriage & Family Therapist | 730 Jenks Ave, Panama City, FL 32401-2530 | 2008-06-09 |
| 1194889790 | Carol S Mirus | Marriage & Family Therapist | 1103 Fortune Ave, Panama City, FL 32401-1831 | 2006-12-20 |
| 1568538122 | Gretchen Balogh | Marriage & Family Therapist | 2711 W 15th St, Panama City, FL 32401-1366 | 2006-11-27 |
| 1336139344 | Lorretta Glass | Marriage & Family Therapist | 525 E 15th St, Panama City, FL 32405-5412 | 2005-10-21 |
| 1043200058 | Julie Kitzerow | Marriage & Family Therapist | 525 E 15th St, Panama City, FL 32405-5412 | 2005-10-21 |
| 1639168958 | Edwin R Ailes | Marriage & Family Therapist | 525 E 15th St, Panama City, FL 32405-5412 | 2005-10-19 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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| 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.