Healthcare Provider Details

I. General information

NPI: 1588581201
Provider Name (Legal Business Name): JUST BREATHE TRAUMA AND GRIEF SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 W CITY AVE STE 7
BALA CYNWYD PA
19004-3102
US

IV. Provider business mailing address

183 W CITY AVE STE 7
BALA CYNWYD PA
19004-3102
US

V. Phone/Fax

Practice location:
  • Phone: 856-257-6730
  • Fax:
Mailing address:
  • Phone: 856-257-6730
  • 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: RAKIRAH BROWN
Title or Position: THERAPIST
Credential: MA, LPC
Phone: 856-257-6730