| Breaking Stasis Llc | |
|
100 S 7th St Ste 4 Sierra Vista AZ 85635-2509 | |
| (520) 216-4068 | |
| Not Available |
| Full Name | Breaking Stasis Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 S 7th St Ste 4, Sierra Vista, Arizona |
| Authorized Official Name and Position | Drew Pease (CEO/CLINICIAN) |
| Authorized Official Contact | 5209541877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Stasis Llc 100 S 7th St Ste 4 Sierra Vista AZ 85635-2509 Ph: (520) 216-4068 | Breaking Stasis Llc 100 S 7th St Ste 4 Sierra Vista AZ 85635-2509 Ph: (520) 216-4068 |
| NPI Number | 1558127035 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558127035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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