Healthcare Provider Details

I. General information

NPI: 1982568994
Provider Name (Legal Business Name): BREAKING THE CYCLE PSYCHOTHERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 PRINCE AVE STE 1
ATHENS GA
30606-6039
US

IV. Provider business mailing address

85 OLD FARM RD STE 100
JEFFERSON GA
30549-2965
US

V. Phone/Fax

Practice location:
  • Phone: 706-425-9671
  • Fax:
Mailing address:
  • Phone: 706-425-9671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: YESSICA ELIZABETH ROSS
Title or Position: THERAPIST AND OWNER
Credential: LPC
Phone: 470-891-9042