| Breaking Barriers Behavioral Services Llc | |
|
2504 Raeford Rd Ste 202 Fayetteville NC 28305-5135 | |
| (910) 644-9986 | |
| Not Available |
| Full Name | Breaking Barriers Behavioral Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2504 Raeford Rd Ste 202, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jasmine Darice Johnson (OWNER) |
| Authorized Official Contact | 9106449986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Barriers Behavioral Services Llc 2504 Raeford Rd Ste 202 Fayetteville NC 28305-5135 Ph: (910) 644-9986 | Breaking Barriers Behavioral Services Llc 2504 Raeford Rd Ste 202 Fayetteville NC 28305-5135 Ph: (910) 644-9986 |
| NPI Number | 1104412899 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104412899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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