Provider Demographics
NPI:1710578638
Name:BREATHE THERAPY SERVICES
Entity Type:Organization
Organization Name:BREATHE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:919-438-2941
Mailing Address - Street 1:12329 PAWLEYS MILL CIR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7979
Mailing Address - Country:US
Mailing Address - Phone:919-438-2941
Mailing Address - Fax:
Practice Address - Street 1:8340 BANDFORD WAY STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2755
Practice Address - Country:US
Practice Address - Phone:919-438-2941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty