Provider Demographics
NPI:1356980288
Name:BROGLIE, ADRIANA ELIZABETH (LPC)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:ELIZABETH
Last Name:BROGLIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 PORT ROYAL CT
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1333
Mailing Address - Country:US
Mailing Address - Phone:302-547-6098
Mailing Address - Fax:
Practice Address - Street 1:920 E BALTIMORE PIKE STE 200
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1800
Practice Address - Country:US
Practice Address - Phone:610-388-9225
Practice Address - Fax:484-770-9290
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011895101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional