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NPI Code Detail

MEDICARE: ONE BREATH HOLISTIC COUNSELING LLC

MEDICARE: ONE BREATH HOLISTIC COUNSELING LLC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1801369814
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE BREATH HOLISTIC COUNSELING LLC
Provider Business Mailing Address
First Line : 1103 BROWNELL ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49006-2145
Country : US
Telephone Number : 269-578-6963
Fax Number :
Provider Business Practice Location Address
First Line : 5466 HOLIDAY TER
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-2147
Country : US
Telephone Number : 269-578-6963
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNIFER CAPUA CLAUS
Credential :
Telephone Number : 269-578-6963
Provider Enumeration Date : 01/03/2019
Last Update Date : 01/03/2019

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