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Organization
BREAKTHROUGH TRANSITIONS LLC
Active
Organization
BREAKTHROUGH TRANSITIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ALBERTHA MCSHAN LCSW (OWNER/PROVIDER)
(407) 616-1530
Entity
Organization
Contact information
Practice address
2110 N DONNELLY ST STE 500, MOUNT DORA, FL 32757-6968
(321) 362-4176
(321) 256-5176
Mailing address
2201 S BAY ST STE B-4, EUSTIS, FL 32726-6300
(407) 616-1530
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2021
Last updated
01/26/2022
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