PROJECT BREAKTHROUGH WELLNESS CENTER LLC NPI 1063002616

NPI Information

NPI: 1063002616
Provider Name: PROJECT BREAKTHROUGH WELLNESS CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
334 W 10TH PL STE 103
MESA, AZ
ZIP 85201
Phone: (916) 273-0680
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PROJECT BREAKTHROUGH WELLNESS CENTER LLC is a mental health counselor in Mesa, AZ. PROJECT BREAKTHROUGH WELLNESS CENTER LLC NPI is 1063002616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

334 W 10TH PL STE 103
MESA, AZ
ZIP 85201-499
Phone: (916) 273-0680

The provider's authorized official is Kimberly Weaver .
The authorized official title is Ceo and has the following contact phone number (916) 273-0680.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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