Breakaway Mental Health, Pllc
NPI #1235969007 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1235969007
- Entity Type
- Organization
- Organization Name
- Breakaway Mental Health, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 6, 2024
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 116 W 7TH AVE STE 324
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-4018
- Phone
- (405) 385-4225
Authorized Official
- Name
- MRS. BECKY DIANE AEBI, LPC
- Title
- OWNER/CEO
- Phone
- (405) 385-4225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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