Provider Demographics
NPI:1396367538
Name:A BREAK THROUGH, LLC
Entity Type:Organization
Organization Name:A BREAK THROUGH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-885-3609
Mailing Address - Street 1:13705 HIGHWAY 98 W
Mailing Address - Street 2:
Mailing Address - City:SPRING HOPE
Mailing Address - State:NC
Mailing Address - Zip Code:27882
Mailing Address - Country:US
Mailing Address - Phone:252-885-3609
Mailing Address - Fax:
Practice Address - Street 1:13705 HWY 98 WEST
Practice Address - Street 2:
Practice Address - City:SPRING HOPE
Practice Address - State:NC
Practice Address - Zip Code:27882
Practice Address - Country:US
Practice Address - Phone:252-885-3609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health