BREAKAWAY MENTAL HEALTH, PLLC; NPI #1235969007

Contact Information

BREAKAWAY MENTAL HEALTH, PLLC

116 W 7TH AVE STE 324
STILLWATER, OK 74074-4018

Phone: 405-385-4225
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for BREAKAWAY MENTAL HEALTH, PLLC

NPI Number	`1235969007`
LBN Legal business name	BREAKAWAY MENTAL HEALTH, PLLC
Authorized official	BECKY AEBI - (OWNER/CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/06/2024
Last updated	08/06/2024 - 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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BREAKAWAY MENTAL HEALTH, PLLC

Contact Information

Specialty

Professional

NPI Profile & details for BREAKAWAY MENTAL HEALTH, PLLC

Reviews for BREAKAWAY MENTAL HEALTH, PLLC