Breaking Free
LBN: Breaking Free
Breaking Free is an health care organization with primary practice located at 120 Gale St Suite 200, Aurora IL 60506-5084. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Breaking Free can be contacted via phone (630) 897-1003, or through Stricklin, Herbert via phone (630) 897-1003.
Contact Information
Primary practice address
120 Gale St Suite 200
Aurora IL 60506-5084
Phone: (630) 897-1003
Fax: (630) 572-0566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | A-0380-0002-A | Illinois |
| Agencies / Community/Behavioral Health | 251S00000X | Illinois | |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1295872513 |
|---|---|
| LBN Legal business name | Breaking Free |
| DBA Doing business as | |
| Authorized official | Stricklin, Herbert M.S., LCPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 21st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295872513 | NPPES |
| Illinois | Other | 1839 | BLUE CROSS PROVIDER NUMBE |
| Illinois | Other | 0380 | BLUE CROSS PROVIDER NUMBE |
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