BREAKTHROUGH TRANSITIONS LLC NPI 1104594415

NPI Information

NPI: 1104594415
Provider Name: BREAKTHROUGH TRANSITIONS LLC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Address: 2110 N DONNELLY ST STE 500
MOUNT DORA, FL
ZIP 32757
Phone: (321) 362-4176

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NPI Details

BREAKTHROUGH TRANSITIONS LLC is a medical specialty clinic center in Mount Dora, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BREAKTHROUGH TRANSITIONS LLC NPI is 1104594415. The provider is registered as an organization entity type.

The provider's business location address is:

2110 N DONNELLY ST STE 500
MOUNT DORA, FL
ZIP 32757-968
Phone: (321) 362-4176
Fax: (321) 256-5176

The provider's authorized official is Stephanie Albertha Mcshan .
The authorized official title is Owner/provider and has the following contact phone number (407) 616-1530.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 1/26/2022.

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	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	261QM2500X	Clinic/Center	Medical Specialty	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: 3/30/2025

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