MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) – Professional Counselor, NPI 1780795104

Professional Counselor

MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) is a healthcare provider. based in Detroit, Michigan. specializing in Professional Counselor. They hold the professional credentials L.P.C.. They hold a License No. 6401008550 (MI). The NPI Number for MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) is 1780795104

Main info

Female

Sole Proprietor

Name

MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.)

NPI

1780795104

Phone

(313) 961-3700

Address

2051 W GRAND BLVD

Enumeration Date

31 August 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.)

2051, West Grand Boulevard, Wildemere Park, Detroit, Wayne County, Michigan, 48208, United States
DETROIT, MI 482081105
Phone: (313) 961-3700
Fax: (313) 961-3769
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48208)

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Reviews

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Frequently asked questions

Can I cross-check MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) using NPI 1780795104?

NPI 1780795104 belongs to MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.); compare other details if you need extra assurance.

Is MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) shown as active in public data?

Registry records indicate MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) maintains an active NPI.

What kind of doctor is MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.)?

MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.

Is MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) located near Detroit?

MS. MARIEILLE JAQUETTE BROADNAX (L.P.C.) currently maps to Detroit, Michigan in this extract.

What does 2 location(s) imply?

2 practice locations appear in the available data.