| Breaking Free, Llc | |
|
165 S Main St Lebanon OR 97355-4223 | |
| (541) 405-4622 | |
| (541) 405-4381 |
| Full Name | Breaking Free, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 S Main St, Lebanon, Oregon |
| Authorized Official Name and Position | Tammy Renea Kromhout (CO-OWNER) |
| Authorized Official Contact | 5414054622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free, Llc Po Box 24 Jefferson OR 97352-0024 Ph: (541) 327-8099 | Breaking Free, Llc 165 S Main St Lebanon OR 97355-4223 Ph: (541) 405-4622 |
| NPI Number | 1629575212 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 03/26/2020 |
| Certification Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629575212 | NPI | - | NPPES |
| 500717667 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
People Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 S Main St, Lebanon, OR 97355 Phone: 541-258-8210 Fax: 541-258-8212 | |
Mackie Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 5th St, Lebanon, OR 97355 Phone: 458-230-5248 | |
Lisa-paula Da Silva Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38325 Mount Hope Dr, Lebanon, OR 97355 Phone: 541-401-6100 | |
Lila Mcqueen, Ph.d. & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 S Main St, Lebanon, OR 97355 Phone: 541-259-5400 |