BREATH OF LIFE COUNSELING, LLC (NPI# 1104270693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104270693 |
| Entity Type | Organization |
| Organization Name | BREATH OF LIFE COUNSELING, LLC |
| Other Organization Name | BREATH OF LIFE, LLC |
| Practice Address |
71667 Leveson St Abita Springs LA 70420-3635 |
| Practice Telephone | 9852648089 |
| Mailing Telephone | 9852648089 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | PATRICIA J STOUT (OWNER) |
| Authorized Official Telephone | 9852648089 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3035 | LA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Breath of Life, LLC | Doing Business As Name - Organization |
| Street Address |
71667 LEVESON ST |
| City | ABITA SPRINGS |
| State | LA |
| Zip Code | 70420-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207653 | Patricia Stout | Social Worker | 71667 Leveson St, Abita Springs, LA 70420-3635 | 2006-08-29 |
| 1154979250 | Primary Nutrition Consulting LLC | Dietitian, Registered | 71667 Leveson St, Abita Springs, LA 70420-3635 | 2019-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700630 | Kristin Leonie Mayer Couch | Registered Nurse | 25010 Burvant Street, Abita Springs, LA 70420 | 2020-11-08 |
| 1679174452 | Donna Shartil Golman | Driver | 73350 Birdie Street, Abita Springs, LA 70420 | 2020-11-06 |
| 1528510351 | Simone Delaune Nolan | Counselor | 302 Lei Lani Ave, Abita Springs, LA 70420 | 2016-10-27 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1225243157 | Michael Joseph Petrosky | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2007-05-14 |
| 1477698801 | Steven E Pfingsten | Dentist | 71623 Hickory Street, Abita Springs, LA 70420 | 2007-02-21 |
| 1609879659 | Glenda Carol Breakfell Petroff | Nurse Practitioner | 22070 Highway 59, Abita Springs, LA 70420 | 2005-05-23 |
| 1235464488 | Abita Chiropractic LLC | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2009-10-06 |
| 1588721179 | Louis P. Nogues, IIi, Dds, A Professional Corp. | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-01-02 |
| 1982807632 | Nicole Suberville Wascom | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-06-08 |
| Find all providers in zip 70420 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528232592 | Donald Eugene Henry | Social Worker | 244 Emerald Crk W, Abita Springs, LA 70420-3351 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851829 | Dana Deshun Thomas Burrell | Social Worker | 3025 Seracedar Dr, Baton Rouge, LA 70816-2071 | 2020-11-03 |
| 1538769187 | Patrick Morris | Social Worker | 1106 Maximillian St, Baton Rouge, LA 70802-6551 | 2020-10-31 |
| 1194325407 | Worlita L. Williams | Social Worker | 510 Rea St, Mansfield, LA 71052-2142 | 2020-10-27 |
| 1588263099 | Magnolia Wellness, LLC | Social Worker | 5689a Commerce Street, St. Francisville, LA 70775 | 2020-10-26 |
| 1366040370 | Katherine Hebert | Social Worker | 108 Lake St, Abbeville, LA 70510-6503 | 2020-10-12 |
| 1528665551 | Healing and Releasing Trauma, LLC | Social Worker | 17048 Jamestowne Dr, Prairieville, LA 70769-4858 | 2020-10-02 |
| 1326655051 | Tina Simon Grice | Social Worker | 2820 Athania Pkwy Ste 1, Metairie, LA 70002-5981 | 2020-09-27 |
| 1114532314 | Colleen Ann Phillips | Social Worker | 1017 Claire Dr, Slidell, LA 70461-1350 | 2020-09-14 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | ABITA SPRINGS |
| Zip Code | 70420 |
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| 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.