Healthcare Provider Details

I. General information

NPI: 1902646441
Provider Name (Legal Business Name): BREAKTHROUGH BEGINNINGS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 HIGHWAY 77
ATTALLA AL
35954-7093
US

IV. Provider business mailing address

1239 HIGHWAY 77
ATTALLA AL
35954-7093
US

V. Phone/Fax

Practice location:
  • Phone: 256-907-1676
  • Fax: 256-467-8504
Mailing address:
  • Phone: 256-907-1676
  • Fax: 256-467-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY GREEN THOMPSON
Title or Position: OWNER
Credential: LICSW-S, PIP, CDBT
Phone: 256-907-1676