Provider Demographics
NPI:1578685509
Name:BREAKTHROUGH RECOGNICILIATION MINISTRIES
Entity Type:Organization
Organization Name:BREAKTHROUGH RECOGNICILIATION MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BURKETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-389-2910
Mailing Address - Street 1:1550 RICHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8212
Mailing Address - Country:US
Mailing Address - Phone:740-389-2910
Mailing Address - Fax:
Practice Address - Street 1:1550 RICHLAND RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8212
Practice Address - Country:US
Practice Address - Phone:740-389-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000OtherPASTORAL COUNCELING