| Break Away Consulting & Consulting Llc | |
|
4539 N 22nd St # 5178 Phoenix AZ 85016-4639 | |
| (602) 456-2846 | |
| Not Available |
| Full Name | Break Away Consulting & Consulting Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4539 N 22nd St # 5178, Phoenix, Arizona |
| Authorized Official Name and Position | Alexandra Coker (CEO) |
| Authorized Official Contact | 6024562846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Break Away Consulting & Consulting Llc 4539 N 22nd St # 5178 Phoenix AZ 85016-4639 Ph: () - | Break Away Consulting & Consulting Llc 4539 N 22nd St # 5178 Phoenix AZ 85016-4639 Ph: (602) 456-2846 |
| NPI Number | 1952273385 |
|---|---|
| Provider Enumeration Date | 09/23/2025 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952273385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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