Breath Of Life Incorporated in Centralia, WA

Breath Of Life Incorporated is a medicare enrolled mental health clinic (Counselor - Mental Health) in Centralia, Washington. The current practice location for Breath Of Life Incorporated is 625 S Diamond St, Centralia, Washington. For appointments, you can reach them via phone at (360) 807-8476. The mailing address for Breath Of Life Incorporated is Po Box 1241, Centralia, Washington and phone number is (360) 807-8476.

Breath Of Life Incorporated is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538802707. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 807-8476.

Contact Information

	Breath Of Life Incorporated
	625 S Diamond St Centralia WA 98531-3817
	(360) 807-8476
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Breath Of Life Incorporated
Speciality	Counselor
Location	625 S Diamond St, Centralia, Washington
Authorized Official Name and Position	Sherri Lynn Coult Hamilton (PRESIDENT)
Authorized Official Contact	3608801961
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Breath Of Life Incorporated Po Box 1241 Centralia WA 98531-0730 Ph: (360) 807-8476	Breath Of Life Incorporated 625 S Diamond St Centralia WA 98531-3817 Ph: (360) 807-8476

NPI Details:

NPI Number	1538802707
Provider Enumeration Date	04/15/2022
Last Update Date	03/27/2024
Certification Date	03/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4789021361
Medicare Enrollment ID	O20240318003747

Medical Identifiers

Medical identifiers for Breath Of Life Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538802707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Breath Of Life Incorporated acts as a billing entity for following providers:

Provider Name	Sherri Lynn Coult Hamilton
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1528196912 PECOS PAC ID: 5698112274 Enrollment ID: I20240830000618

Reviews and Comments

Counselor in Centralia, WA

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Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Cooks Hill Rd, Centralia, WA 98531 Phone: 253-999-9079 Fax: 253-368-0502
Dynamic Balance Psychology Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1505 Shakespeare Dr, Centralia, WA 98531 Phone: 360-360-5044
South Puget Sound Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 River Heights Rd, Centralia, WA 98531 Phone: 360-819-8180

Breath Of Life Incorporated - Medicare Mental Health Clinic in Centralia, WA