Provider Demographics
NPI:1396422002
Name:BROATCH, LINDSAY (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:BROATCH
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CREEK RUN
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1457
Mailing Address - Country:US
Mailing Address - Phone:551-206-2412
Mailing Address - Fax:
Practice Address - Street 1:28 CREEK RUN
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1457
Practice Address - Country:US
Practice Address - Phone:551-206-2412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-04
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018408P101Y00000X
NJ37LC00363800101YA0400X
NJ37PC00974700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)