Provider Demographics
NPI:1841014560
Name:BREAKING BARRIERS COUNSELING LLC
Entity type:Organization
Organization Name:BREAKING BARRIERS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-515-9679
Mailing Address - Street 1:624 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-2007
Mailing Address - Country:US
Mailing Address - Phone:814-515-9679
Mailing Address - Fax:814-257-5063
Practice Address - Street 1:624 W 15TH ST
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686-2007
Practice Address - Country:US
Practice Address - Phone:814-515-9679
Practice Address - Fax:814-257-5063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty