Provider Demographics
NPI:1336912492
Name:NEW BREATH COUNSELING LLC
Entity Type:Organization
Organization Name:NEW BREATH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:GABRIELA
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-462-8973
Mailing Address - Street 1:310 E GOVERNMENT ST STE A-3
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-6507
Mailing Address - Country:US
Mailing Address - Phone:850-462-8973
Mailing Address - Fax:
Practice Address - Street 1:310 E GOVERNMENT ST STE A-3
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-6507
Practice Address - Country:US
Practice Address - Phone:850-462-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health