Breath of Life Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3035 Issued in LA

Legal business name

BREATH OF LIFE COUNSELING, LLC

Doing business as

Breath of Life, LLC

Practice address

71667 Leveson St
Abita Springs, LA 70420-3635

Phone

(985) 264-8089

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia J Stout, LCSWNPI 1831207653

Title

Owner

Phone

(985) 264-8089

Specialties & licenses 1

Addresses

Other names 1

• Breath of Life, LLC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Stout, LCSW

  • Social Worker
  • Abita Springs, LA
  • NPI 1831207653
  Authorized official Same address or phone
• Cheryl Suzanne Berman-Beaver, LCSW

  • Mental Health Counselor
  • Luling, LA
  • NPI 1558637116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1104270693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71667 LEVESON ST",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203635",
            "telephone_number": "985-264-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71667 LEVESON ST",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203635",
            "telephone_number": "985-264-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-264-8089",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breath of Life, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amie Aertker, RPH
• Elizabeth N Ardoin, MS CCCSLP
• Angela R Babin, QHHT PRACTITIONER
• Eric Taylor Baumgartner, M.D.
• William Landry Baumgartner, M.D.
• Sean Michael Brite, LPC, NCC
• Elizabeth Thibodeaux Buras, NP
• Morgan Carrier, RAC
• Michael Roger Chamberlain
• Complete Patient Services LLC

• Clinical Social Worker in Abita Springs, LA
• Providers in Abita Springs, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.