Provider Demographics
NPI:1851953046
Name:BREAKTHROUGH BEHAVIORAL COGNITIVE INTERVENTIONS
Entity Type:Organization
Organization Name:BREAKTHROUGH BEHAVIORAL COGNITIVE INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HILLARY-ARTHUR
Authorized Official - Last Name:LADAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-566-8824
Mailing Address - Street 1:2514 RHYME COURT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-2736
Mailing Address - Country:US
Mailing Address - Phone:832-566-8824
Mailing Address - Fax:281-503-7723
Practice Address - Street 1:2514 RHYME COURT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-2736
Practice Address - Country:US
Practice Address - Phone:832-566-8824
Practice Address - Fax:281-503-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health