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NPI Code Detail

MEDICARE: JUST BREATHE INNOVATIONS, LLC

MEDICARE: JUST BREATHE INNOVATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1598502304
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUST BREATHE INNOVATIONS, LLC
Provider Business Mailing Address
First Line : 258 N WITCHDUCK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6556
Country : US
Telephone Number : 757-301-1218
Fax Number :
Provider Business Practice Location Address
First Line : 258 N WITCHDUCK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6556
Country : US
Telephone Number : 757-301-1218
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : ESTHER AQUINO LEVINE
Credential : LPC
Telephone Number : 757-287-0985
Provider Enumeration Date : 07/09/2024
Last Update Date : 03/04/2026

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Directions to “JUST BREATHE INNOVATIONS, LLC ” Practice Location

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