Organization
BREATHE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ANDREW SMITH MA, LPC (OWNER)
(970) 518-5266
Entity
Organization
Contact information
Practice address
4689 W 20TH ST UNIT E, GREELEY, CO 80634-3218
(970) 381-2164
Mailing address
3513 38TH AVE, EVANS, CO 80620-9107
(970) 518-5266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000207559
—
CO
Enumeration date
09/23/2021
Last updated
04/05/2023
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