Healthcare Provider Details

I. General information

NPI: 1851029128
Provider Name (Legal Business Name): BREAK FREE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 W 21ST PL
KENNEWICK WA
99337-3603
US

IV. Provider business mailing address

1612 W 21ST PL
KENNEWICK WA
99337-3603
US

V. Phone/Fax

Practice location:
  • Phone: 509-882-2383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA MIRAMONTES
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential:
Phone: 509-882-2383