Healthcare Provider Details

I. General information

NPI: 1598502304
Provider Name (Legal Business Name): JUST BREATHE INNOVATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 N WITCHDUCK RD
VIRGINIA BEACH VA
23462-6556
US

IV. Provider business mailing address

258 N WITCHDUCK RD
VIRGINIA BEACH VA
23462-6556
US

V. Phone/Fax

Practice location:
  • Phone: 757-301-1218
  • Fax:
Mailing address:
  • Phone: 757-301-1218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHER AQUINO LEVINE
Title or Position: OWNER/MANAGER
Credential: LPC
Phone: 757-287-0985