Fresh Breath Therapy, Pllc
LBN: Fresh Breath Therapy, Pllc
Fresh Breath Therapy, Pllc is an health care organization with primary practice located at 1209 Trotter Bluffs Dr , Holly Springs NC 27540-9149. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Fresh Breath Therapy, Pllc can be contacted via phone (704) 576-8197, or through Meyers, Kaylee via phone (704) 576-8197.
Contact Information
Primary practice address
1209 Trotter Bluffs Dr
Holly Springs NC 27540-9149
Phone: (704) 576-8197
Fax:
Website:
Authorized official contact:
Name: Meyers, Kaylee Licensed Clinical Social Worker (LCSW)
Phone: (704) 576-8197
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1972352292 |
|---|---|
| LBN Legal business name | Fresh Breath Therapy, Pllc |
| DBA Doing business as | |
| Authorized official | Meyers, Kaylee Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2024 |
| Last updated | Jun 3rd, 2024 - about 5 months 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 | 1972352292 | NPPES |
| North Carolina | MEDICAID | 1740848365 |
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