Breakthrough Therapeutic Services

LBN: Mk Dixon Counseling And Consulting
Breakthrough Therapeutic Services is an health care organization with primary practice located at 105 Industrial Parkway , Lafayette LA 70508. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mk Dixon Counseling And Consulting can be contacted via phone (337) 501-1128, or through Dixon, Kizzy via phone (337) 534-0254.

Contact Information

Primary practice address
105 Industrial Parkway Lafayette LA 70508
Phone: (337) 501-1128
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Kizzy LPC-S
Phone: (337) 534-0254

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1306365457
LBN Legal business name Mk Dixon Counseling And Consulting
DBA Doing business as Breakthrough Therapeutic Services
Authorized official Dixon, Kizzy LPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2017
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306365457 NPPES
Louisiana MEDICAID 2461389

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