Provider Demographics
NPI:1962025676
Name:BREATHE WELLNESS COUNSELING PLLC
Entity Type:Organization
Organization Name:BREATHE WELLNESS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STROEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LCMHC
Authorized Official - Phone:828-523-8181
Mailing Address - Street 1:88 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-1934
Mailing Address - Country:US
Mailing Address - Phone:828-523-8181
Mailing Address - Fax:828-523-8182
Practice Address - Street 1:88 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-1934
Practice Address - Country:US
Practice Address - Phone:828-523-8181
Practice Address - Fax:828-523-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty