Bread of Life, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BREAD OF LIFE, INC.

Practice address

2019 Crawford St
Houston, TX 77002-9002

Phone

(713) 659-3237

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ryan R Harris, MD

Title

VP of Behavioral Health Services

Phone

(713) 659-3237

Specialties & licenses 3

Addresses

Other names 1

• Paradigm Doing business as

Locations

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1417705385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 CRAWFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 CRAWFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029002",
            "telephone_number": "713-659-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAD OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OF BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "713-659-3237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Randall Brazzel, MA, LPC, LMFT
• Dayannis Brea Nunez
• Bread of Life Care Services, Inc.
• Bread of Life Healthcare Provider
• Bread of Life Pediatrics PLLC
• Break Every Chain Transformation House
• Breaking Barriers Incorporated
• Breaking Barriers Residential Care Homes LLC
• Breakthrough Behavioral Cognitive Interventions
• Breakthrough International Ministries Church Bimc Inc

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.