Breathe Wellness Counseling PLLC
Organization Active NPI Mental Health Counselor · Granite Falls, NC
NPI 1962025676 · NPPES record last updated Jun 25, 2021
Key facts
- NPI
- 1962025676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BREATHE WELLNESS COUNSELING PLLC
- Practice address
- 88 S Main St
Granite Falls, NC 28630-1934 - Phone
- (828) 523-8181
- Fax
- (828) 523-8182
- NPI assigned
- May 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Michelle Stroebel, NCC, LCMHC
- Title
- Owner/Lead Clinician
- Phone
- (828) 523-8181
Corporate family (same tax ID) 2
Practitioners 2
-
Teresa Scott Tucker, M.S.W.
-
Julie Hartley Holman, MA, NCC, LCMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211209000684 | NC | Part B Supplier - Clinic/Group Practice | 0941690770 |
Receives reassigned benefits from 1 practitioner Practice locations: Granite Falls, NC |
National Provider Directory
- Tax ID family
- Breathe Wellness Counseling PLLC
Locations
10 Falls Ave
Ste 1
Granite Falls, NC 28630
Phone (828) 523-8181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
88 S Main St
Granite Falls, NC 28630-1934
Mailing address
88 S Main St
Granite Falls, NC 28630-1934
Phone (828) 523-8181
Other providers in Granite Falls, NC
- James Boxley Boggs
- Joseph Marc Boggs
- Cliniece Vaught Bradshaw
- Breathe Wellness Counseling PLLC
- Breathe Wellness Counseling PLLC
- Edward James Bujold
- Caldwell Memorial Hospital Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc.
All providers in Granite Falls, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.