# BREATHE & BALANCE LLC

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

## Provider details

- **NPI number:** 1396680369
- **Authorized official:** NIKKI LEVINE BUSTOS (OWNER/OPERATOR)
- **Authorized official phone:** (617) 794-9751

## Contact information

- **Practice address:** 814 19TH ST, CODY, WY 82414-3839
- **Practice address phone:** (617) 794-9751
- **Mailing address:** 814 19TH ST, CODY, WY 82414-3839
- **Mailing address phone:** (617) 794-9751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2026
- **Last updated:** 04/23/2026
