Provider Demographics
NPI:1780251447
Name:BREAKTHROUGH COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:BREAKTHROUGH COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:701-425-2280
Mailing Address - Street 1:2718 GATEWAY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0585
Mailing Address - Country:US
Mailing Address - Phone:701-638-3166
Mailing Address - Fax:701-248-1224
Practice Address - Street 1:2718 GATEWAY AVE STE 102
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0585
Practice Address - Country:US
Practice Address - Phone:701-425-2280
Practice Address - Fax:701-248-1224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty