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365 BREAKTHROUGH LLC
NPI 1962114512
Counselor - Mental Health in Mesa, AZ

Active since December 14, 2022
6641 E BAYWOOD AVE STE B3, MESA, AZ 85206(602) 921-2565 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Dec 19, 2022, Dec 14, 2022 (3 updates tracked since 2022).

About 365 Breakthrough Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

365 BREAKTHROUGH LLC (NPI 1962114512) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since December 2022. The organization lists Chyon Simmons, Coo, as its authorized official.

NPPES Registry Identity

NPI1962114512
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business Name365 BREAKTHROUGH LLC
Location Address6641 E BAYWOOD AVE STE B3Mesa, AZ 85206-1723
Mailing Address6641 E Baywood Ave Ste B3Mesa, AZ 85206-1723 · (602) 921-2565
Phone(602) 921-2565
Organization SubpartNo
Authorized OfficialChyon SimmonsCoo · (323) 440-3150
Enumeration DateDecember 14, 2022
Last NPPES UpdateFebruary 8, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1962114512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6641 E BAYWOOD AVE STE B3, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IKIYA D RICHARD
Contractor
6641 E BAYWOOD AVE STE B3
MESA, AZ 85206
Maricopa County (602) 921-2562
DR. DAVID WILCOXSON AND ASSOCIATES, LLC
Internal Medicine (Cardiovascular Disease)
6641 E BAYWOOD AVE STE B3
MESA, AZ 85206
Maricopa County (480) 867-7353
CHYON E SIMMONS
Contractor
6641 E BAYWOOD AVE STE B3
MESA, AZ 85206
Maricopa County (323) 440-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 365 Breakthrough LLC's NPI number?

The NPI number for 365 Breakthrough LLC is 1962114512. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is 365 Breakthrough LLC located?

365 Breakthrough LLC is located at 6641 E Baywood Ave Ste B3, Mesa, AZ 85206. The listed phone number is (602) 921-2565.

What is 365 Breakthrough LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for 365 Breakthrough LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.