Provider Demographics
NPI:1144891441
Name:JUSTBREATHETALKLINE
Entity type:Organization
Organization Name:JUSTBREATHETALKLINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KATARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:RA, MS, BA, QMHS
Authorized Official - Phone:330-858-3895
Mailing Address - Street 1:1338 COPLEY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2306
Mailing Address - Country:US
Mailing Address - Phone:330-858-3895
Mailing Address - Fax:
Practice Address - Street 1:1338 COPLEY MEADOWS DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2306
Practice Address - Country:US
Practice Address - Phone:330-858-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1366902710OtherNPI