Provider Demographics
NPI:1437612983
Name:BROUSSARD, ARAMI L
Entity Type:Individual
Prefix:MRS
First Name:ARAMI
Middle Name:L
Last Name:BROUSSARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 E SHORE RD
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4960
Mailing Address - Country:US
Mailing Address - Phone:305-766-3765
Mailing Address - Fax:
Practice Address - Street 1:1280 S POWERLINE RD STE 25
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4342
Practice Address - Country:US
Practice Address - Phone:954-316-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor