Organization
BREAKTHROUGH HQ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JANELLE BABB APRN, PMHNP-BC (PMHNP-BC)
(352) 454-1656
Entity
Organization
Contact information
Practice address
720 W PRINCETON ST, ORLANDO, FL 32804-5214
(407) 553-8587
(407) 537-2063
Mailing address
720 W PRINCETON ST, ORLANDO, FL 32804-5214
(407) 553-8587
(407) 537-2063
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
11/08/2024
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