Provider Demographics
NPI:1285194472
Name:IT TAKES A BREATH, LLC
Entity Type:Organization
Organization Name:IT TAKES A BREATH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANISE
Authorized Official - Middle Name:P
Authorized Official - Last Name:POPE-CONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-456-9224
Mailing Address - Street 1:508 SELMA ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2806
Mailing Address - Country:US
Mailing Address - Phone:267-456-9224
Mailing Address - Fax:
Practice Address - Street 1:505 OLD YORK ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:267-456-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty