Provider Demographics
NPI:1902646441
Name:BREAKTHROUGH BEGINNINGS, LLC.
Entity type:Organization
Organization Name:BREAKTHROUGH BEGINNINGS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW-S, PIP, CDBT
Authorized Official - Phone:256-907-1676
Mailing Address - Street 1:7616 GALLANT RD
Mailing Address - Street 2:
Mailing Address - City:GALLANT
Mailing Address - State:AL
Mailing Address - Zip Code:35972-2103
Mailing Address - Country:US
Mailing Address - Phone:256-907-1676
Mailing Address - Fax:
Practice Address - Street 1:7616 GALLANT RD
Practice Address - Street 2:
Practice Address - City:GALLANT
Practice Address - State:AL
Practice Address - Zip Code:35972-2103
Practice Address - Country:US
Practice Address - Phone:256-907-1676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty