Breakthrough Glow, Llc

LBN: Breakthrough Glow, Llc
Breakthrough Glow, Llc is an health care organization with primary practice located at 1401A Melon St , Norfolk VA 23523-2009. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Breakthrough Glow, Llc can be contacted via phone (757) 996-1837, or through Archer, Alycia Margaret via phone (757) 996-1837.

Contact Information

Primary practice address
1401A Melon St Norfolk VA 23523-2009
Phone: (757) 996-1837
Fax: (213) 867-8466
Website:
Map and Directions
Authorized official contact:
Name: Archer, Alycia Margaret MA LPC
Phone: (757) 996-1837

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1235997164
LBN Legal business name Breakthrough Glow, Llc
DBA Doing business as
Authorized official Archer, Alycia Margaret MA LPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2024
Last updated Mar 6th, 2024 - about 2 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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