Breakthrough Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BREAKTHROUGH THERAPY, LLC

Practice address

11 Davis Keats Dr
Greenville, SC 29607-6509

Phone

(478) 972-8841

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Mary Katherine LanceNPI 1104595909

Title

Owner

Phone

(478) 972-8841

Specialties & licenses 1

Addresses

Other names 1

• Mary Katherine Therapy Doing business as

Locations

Practitioners 1

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

• Mary Katherine Lance

  • Marriage & Family Therapist
  • Greenville, SC
  • NPI 1104595909
  NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1780458281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOODRUFF RD STE E1006",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DAVIS KEATS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076509",
            "telephone_number": "478-972-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-972-8841",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Katherine Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Katherine Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Warren Bray III, M.D.
• Gordon Warren Bray Jr., D.M.D
• Kelli Ann Bray
• Hema Doshi Brazell, M.D.
• Peggy Loree Brazell, NP
• Patrick R Breaux, DDS,PA
• Breckenridge Counseling Services LLC
• Stephanie Breen
• Meghan Rahcael Breil
• Susan Breisch, CAPPA CERT. DOULA

• All providers in Greenville, SC
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.