Provider Demographics
NPI:1225575632
Name:BREAKTHROUGH SOLUTIONS WORLDWIDE INC.
Entity Type:Organization
Organization Name:BREAKTHROUGH SOLUTIONS WORLDWIDE INC.
Other - Org Name:BREAKTHROUGH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-258-4394
Mailing Address - Street 1:1657 NOSTRAND AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5579
Mailing Address - Country:US
Mailing Address - Phone:646-258-4394
Mailing Address - Fax:
Practice Address - Street 1:1000 DEAN ST
Practice Address - Street 2:STE 347
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3381
Practice Address - Country:US
Practice Address - Phone:646-475-2776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007159101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty