Healthcare Provider Details

I. General information

NPI: 1801612668
Provider Name (Legal Business Name): JUST BREATHE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4178 WHITTEN RIDGE RD
MILTON WV
25541-9684
US

IV. Provider business mailing address

4178 WHITTEN RIDGE RD
MILTON WV
25541-9684
US

V. Phone/Fax

Practice location:
  • Phone: 304-982-2545
  • Fax:
Mailing address:
  • Phone: 304-982-2545
  • 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: L. ALLYSON RADENHEIMER
Title or Position: OWNER/CEO
Credential: MA, LPC
Phone: 681-526-0909