| Breakthrough Healing & Wellness Llc | |
|
11030 Heartland Grove Dr Richmond TX 77406-4355 | |
| (804) 608-5053 | |
| Not Available |
| Full Name | Breakthrough Healing & Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 11030 Heartland Grove Dr, Richmond, Texas |
| Authorized Official Name and Position | Sierra Williams (OWNER) |
| Authorized Official Contact | 8046085053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Healing & Wellness Llc 1708 Spring Green Blvd Ste 120 Katy TX 77494-7463 Ph: (804) 608-5053 | Breakthrough Healing & Wellness Llc 11030 Heartland Grove Dr Richmond TX 77406-4355 Ph: (804) 608-5053 |
| NPI Number | 1881376150 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 6204278161 |
|---|---|
| Medicare Enrollment ID | O20240523000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881376150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sierra Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164150074 PECOS PAC ID: 8921440884 Enrollment ID: I20240523001805 |
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