Provider Demographics
NPI:1679646038
Name:BREAK THROUGH INC
Entity Type:Organization
Organization Name:BREAK THROUGH INC
Other - Org Name:MONIQUE LAUGHLIND PHD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-475-9255
Mailing Address - Street 1:14126 SPRINGHILL RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-4734
Mailing Address - Country:US
Mailing Address - Phone:405-475-9255
Mailing Address - Fax:
Practice Address - Street 1:1601 S STATE ST
Practice Address - Street 2:SUITE 800
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4734
Practice Address - Country:US
Practice Address - Phone:405-596-6584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK136101YA0400X
OK121101YM0800X
OK209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty