BREAKING HABITS LLC NPI 1144199043

NPI Information

  • NPI: 1144199043
  • Provider Name: BREAKING HABITS LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 18435 W PALO VERDE AVE
    WADDELL, AZ
    ZIP 85355
  • Phone: (480) 250-8694

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NPI Details

BREAKING HABITS LLC is a rehabilitation and substance use disorder clinic center in Waddell, AZ. BREAKING HABITS LLC NPI is 1144199043. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18435 W PALO VERDE AVE
WADDELL, AZ
ZIP 85355-331
Phone: (480) 250-8694

The provider's authorized official is Garrett Scrivner .
The authorized official title is Founder and has the following contact phone number (480) 250-8694.

The enumeration date for this NPI number is 10/30/2025 and was last updated on 10/30/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5251B00000XCase ManagementNo
6251S00000XCommunity/Behavioral HealthNo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QM2800XClinic/CenterMethadoneNo
10324500000XSubstance Abuse Rehabilitation FacilityNo
11261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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