Provider Demographics
NPI:1437924222
Name:BREATHE AGAIN COUNSELING, LLC
Entity Type:Organization
Organization Name:BREATHE AGAIN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL MENTAL HEALTH COU
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHCA, NCC
Authorized Official - Phone:336-313-2668
Mailing Address - Street 1:2008 NEW GARDEN RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2008 NEW GARDEN RD
Practice Address - Street 2:BUILDING A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-313-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health