Provider Demographics
NPI:1033966726
Name:BREAKING FREE COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:BREAKING FREE COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-383-5708
Mailing Address - Street 1:24 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2027
Mailing Address - Country:US
Mailing Address - Phone:717-383-5708
Mailing Address - Fax:
Practice Address - Street 1:2951 WHITEFORD RD STE 201
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-7624
Practice Address - Country:US
Practice Address - Phone:717-383-5708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty