OrganizationActive
365 Breakthrough LLC
NPI 1962114512 · Mental Health Counselor · Mesa, AZ
Provider details
- NPI number
- 1962114512
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Chyon Simmons, Coo(323) 440-3150
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6641 E Baywood Ave Ste B3
Mesa, AZ 85206-1723
Phone: (602) 921-2565
Approximate (ZIP-level) locationGet directions
Mailing address
6641 E Baywood Ave Ste B3
Mesa, AZ 85206-1723
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.