Breath of Life Wellness Center

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

2005007366 Issued in MO

Legal business name

BREATH OF LIFE WELLNESS CENTER

Practice address

2021 S Waverly Ave
Suite 500
Springfield, MO 65804-2414

Phone

(417) 883-1141

Fax

(417) 889-6627

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Nicole McCauley, DC

Title

Owner

Phone

(417) 883-1141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1972780690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S. WAVERLY",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-883-1141",
            "fax_number": "417-889-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S WAVERLY AVE",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042414",
            "telephone_number": "417-883-1141",
            "fax_number": "417-889-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-883-1141",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MO",
            "license": "2005007366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria J Brazil, MD
• Breaking the Mental Chains, LLC
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• James Brecheisen, MD
• Becky Breckner, LPC
• Nicole Bredbenner
• Lori R. Breedlove, MD
• Rose M Breitling, N.P.

• Local Education Agency (LEA) in Springfield, MO
• Providers in Springfield, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.