CLOUD BREAK THERAPY, LLC (NPI# 1013574177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013574177 |
| Entity Type | Organization |
| Organization Name | CLOUD BREAK THERAPY, LLC |
| Practice Address |
101 S Whiting St Ste 318 Alexandria VA 22304-3416 |
| Practice Telephone | 7038554330 |
| Mailing Telephone | 7038554330 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | BROOKE BUCK (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7038554330 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPPES NPI NUMBER | 1710448725 | 01 |
| VA | NPPES NPI NUMBER | 1295073161 | 01 |
| Street Address |
101 S WHITING ST STE 318 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448725 | Helen Groseclose | Social Worker | 101 S Whiting St Ste 318, Alexandria, VA 22304-3416 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583341 | Resilience Behavioral Healthcare | Clinic/Center | 801 Woodwind Dr, Alexandria, LA 71303-3888 | 2020-09-18 |
| 1659990190 | Heart 2 Heart Counseling & Consulting, LLC | Clinic/Center | 4501 Jackson Extension Ste C-302, Alexandria, LA 71303-2555 | 2020-04-14 |
| 1104471846 | Without Walls Counseling Center | Clinic/Center | 105 Oronoco St Ste 310, Alexandria, VA 22314-2089 | 2019-08-08 |
| 1275054033 | Salus Vita | Clinic/Center | 1200 Braddock Pl Apt 212, Alexandria, VA 22314-1664 | 2017-07-02 |
| 1326400672 | Mount Vernon Family Therapy Associates | Clinic/Center | 1707 Belle View Blvd Apt C2, Alexandria, VA 22307-6727 | 2016-03-25 |
| 1033543756 | Central La Human Services District | Clinic/Center | 5411 Coliseum Blvd, Alexandria, LA 71303-3729 | 2013-08-29 |
| 1669463485 | Compass Behavioral Center of Alexandria, Inc. | Clinic/Center | 4606 Lee St, Alexandria, LA 71302-3235 | 2005-11-01 |
| 1336757558 | Y.o.u Holistic Health and Wellness Center | Clinic/Center | 3311 Wyndham Cir Apt 1195, Alexandria, VA 22302-4316 | 2020-07-14 |
| 1053941617 | Discover Clarity Pllc | Clinic/Center | 324 Broadway St Ste 206, Alexandria, MN 56308-1482 | 2020-01-23 |
| 1215404371 | L & J Counseling Services, LLC | Clinic/Center | 1403 Metro Dr Ste G, Alexandria, LA 71301-3446 | 2018-10-26 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on CLOUD BREAK THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.