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Breaking Free, LLC — NPI 1629575212, Lebanon, OR | NPI Central

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NPI 1629575212

OrganizationActive

Breaking Free, LLC

NPI 1629575212 · Community/Behavioral Health Agency · Lebanon, OR

Provider details

NPI number: 1629575212
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Organization subpart: No
Authorized official: Tammy Kromhout, Co-Owner(541) 405-4622

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers

Practice location

165 S Main St

Lebanon, OR 97355-4223

Phone: (541) 405-4622

Fax: (541) 405-4381

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 24

Jefferson, OR 97352-0024

Registry dates

Enumerated: 2018-04-10
Last updated: 2020-03-26
Certified: 2020-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.