Healthcare Provider Details

I. General information

NPI: 1679646038
Provider Name (Legal Business Name): BREAK THROUGH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S STATE ST SUITE 800
EDMOND OK
73013-4734
US

IV. Provider business mailing address

14126 SPRINGHILL RD
EDMOND OK
73013-4734
US

V. Phone/Fax

Practice location:
  • Phone: 405-596-6584
  • Fax:
Mailing address:
  • Phone: 405-475-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number136
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number121
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number209
License Number StateOK

VIII. Authorized Official

Name: MS. MONIQUE LAUGHLIN
Title or Position: OWNER DIRECTOR
Credential: PHD
Phone: 405-475-9255