MEDICARE: BREAKING STIGMAS TREATMENT OPERATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003759481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAKING STIGMAS TREATMENT OPERATION

Provider Business Mailing Address
First Line	:	685 W 18TH ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90731-5418
Country	:	US
Telephone Number	:	310-365-5761
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 W 18TH ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90731-5418
Country	:	US
Telephone Number	:	310-365-5761
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	TERI RUSHAWN ROGERS
Credential	:	PEER SPECIALIST
Telephone Number	:	310-365-5761

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1720086879 — DR. JENNIFER C SEGER MD
Practice Location Address:

8711 VILLAGE DR , SUITE 200
SAN ANTONIO, TX
78217-5418

Practice Phone: 210-651-1411
Practice Fax: 210-651-1811

1336138205 — MS. NICOLE MARIE JOHNSON SC.M, CGC
Practice Location Address:

475 BRANNAN ST
SAN FRANCISCO, CA
94107-5418

Practice Phone: 443-768-9000
Practice Fax:

1629037163 — WARM SPRINGS SPECIALTY HOSPITAL OF SAN ANTONIO, LLC
Practice Location Address:

5418 N LOOP 1604 W
SAN ANTONIO, TX
78249-4558

Practice Phone: 210-600-4600
Practice Fax: 210-600-4657

1578510095 — DENNIS E. WILLIS, M.D., P.A..
Practice Location Address:

8711 VILLAGE DR , SUITE # 325
SAN ANTONIO, TX
78217-5418

Practice Phone: 210-590-6900
Practice Fax: 210-590-6907

1306889589 — JULIANA LEE DURRETT OTR
Practice Location Address:

8711 VILLAGE DR , SUITE 109
SAN ANTONIO, TX
78217-5418

Practice Phone: 210-297-2725
Practice Fax: 210-297-0215

Directions to “BREAKING STIGMAS TREATMENT OPERATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.