Provider Demographics
NPI:1972025229
Name:LETS BREATHE COUNSELING AND EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:LETS BREATHE COUNSELING AND EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS-A
Authorized Official - Phone:910-975-0649
Mailing Address - Street 1:12521 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-1743
Mailing Address - Country:US
Mailing Address - Phone:910-975-0649
Mailing Address - Fax:
Practice Address - Street 1:12521 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-1743
Practice Address - Country:US
Practice Address - Phone:910-975-0649
Practice Address - Fax:910-975-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12168101YM0800X
251S00000X, 261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities