Breathe LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BREATHE LLC

Practice address

404 N Gloster St
Tupelo, MS 38804-3626

Phone

(662) 350-0567

Fax

(662) 620-7106

NPI assigned

Aug 20, 2025

Organization subpart

No

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

Authorized official

Name

Lane McClellan, LCSWNPI 1013146927

Title

Owner

Phone

(662) 350-0567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lane Elizabeth McClellan, LCSW

  • Social Worker
  • Tupelo, MS
  • NPI 1013146927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1609753599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043626",
            "telephone_number": "662-350-0567",
            "fax_number": "662-620-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043626",
            "telephone_number": "662-350-0567",
            "fax_number": "662-620-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-350-0567",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Wayne Brandon, DMD
• Monae Branham, MS
• Daniel Lynton Brasfield, M.D.
• William Cary Brawner, M.D.
• Martisa Shondell Braylock, MA
• Mimi Cleveland Breedlove, CRNA
• Charity Brees, NNP-BC
• Ellen Bresee
• Mark Chapin Bresee, MPT, OCS
• Brian Thomas Psy D PLLC

• Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.