Healthcare Provider Details

I. General information

NPI: 1477469989
Provider Name (Legal Business Name): BREATHE COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9485 SUNSET DR STE A258
MIAMI FL
33173-3228
US

IV. Provider business mailing address

9485 SUNSET DR STE A258
MIAMI FL
33173-3228
US

V. Phone/Fax

Practice location:
  • Phone: 305-519-7146
  • Fax:
Mailing address:
  • Phone: 305-519-7146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. GLENNY TREJOS
Title or Position: CEO
Credential: LMHC, MS
Phone: 305-519-7146