Break Free Center for Wellness

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002815 Issued in CT

Legal business name

BREAK FREE CENTER FOR WELLNESS

Practice address

642 Hilliard St
Suite 1223
Manchester, CT 06042-2700

Phone

(860) 327-5790

NPI assigned

Mar 7, 2017

Last updated

Mar 7, 2017By 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

Mrs. Sharron Yvette Riley-Seymour, LPCNPI 1699136200

Title

Owner/Counselor

Phone

(860) 881-3076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sharron Yvette Riley-Seymour, LPC

  • Professional Counselor
  • Hartford, CT
  • NPI 1699136200
  NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1710427851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VERNON AVE",
            "address_2": "APARTMENT 2H",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663656",
            "telephone_number": "860-881-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST",
            "address_2": "SUITE 1223",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422700",
            "telephone_number": "860-327-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK FREE CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "RILEY-SEYMOUR",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "860-881-3076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Margo Brady, APRN
• Sarah Branigan, LMFTA
• Bryan Brantley
• Emily R Brault
• Keith A Bray
• Breakaway Health Services LLC
• Brianna Breen
• Meredtih M Brennan
• Shirley Elizabeth Breuer
• Odelia Brew

• Counselor in Manchester, CT
• Providers in Manchester, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.