Provider Demographics
NPI:1649979402
Name:BREATHE INTENTIONALLY LLC
Entity type:Organization
Organization Name:BREATHE INTENTIONALLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EAROMIRSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCSW-C
Authorized Official - Phone:717-356-0515
Mailing Address - Street 1:3130 GRANDVIEW RD.
Mailing Address - Street 2:BUILDING F, SUITE 3
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2472
Mailing Address - Country:US
Mailing Address - Phone:717-356-0515
Mailing Address - Fax:
Practice Address - Street 1:3130 GRANDVIEW RD.
Practice Address - Street 2:BUILDING F, SUITE 3
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2472
Practice Address - Country:US
Practice Address - Phone:717-356-0515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health