# BREATH OF ELAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215680905
- **Authorized official:** DR. KIM LATTIMORE DHSC, MPAS, PA-C, CH (PROGRAM DEVELOPMENT COORDINATOR)
- **Authorized official phone:** (281) 967-3452

## Contact information

- **Practice address:** 3619 QUARTER HORSE TRL, MANVEL, TX 77578-3571
- **Practice address phone:** (281) 967-3452
- **Mailing address:** 9212 FRY RD STE 105, CYPRESS, TX 77433-5487
- **Mailing address phone:** (346) 708-4587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 02/02/2022