BREAKTHROUGH WELLNESS CENTRE LLC NPI 1043051238

NPI Information

  • NPI: 1043051238
  • Provider Name: BREAKTHROUGH WELLNESS CENTRE, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 300 N OTTAWA ST
    JOLIET, IL
    ZIP 60432
  • Phone: (773) 466-4961

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NPI Details

BREAKTHROUGH WELLNESS CENTRE, LLC is a psychiatric/mental health nurse practitioner in Joliet, IL. BREAKTHROUGH WELLNESS CENTRE, LLC NPI is 1043051238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 N OTTAWA ST
JOLIET, IL
ZIP 60432-009
Phone: (773) 466-4961
Fax: (773) 466-9277

The provider's authorized official is Christine Johnson .
The authorized official title is Co-owner and has the following contact phone number (815) 557-9191.

The enumeration date for this NPI number is 6/3/2024 and was last updated on 6/3/2024.

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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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