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Contact Information

BREAKTHROUGH PSYCHOTHERAPY, LLO
570 WEST FRONTAGE ROAD
SUITE 370
NORTHFIELD, IL60093
 Phone: 773-322-1363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BREAKTHROUGH PSYCHOTHERAPY, LLO

NPI Number 1417780925
LBN Legal business name BREAKTHROUGH PSYCHOTHERAPY, LLO
Authorized official ANDREA GODDARD - (PSYCHOLOGIST, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2024
Last updated 08/21/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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