Provider Demographics
NPI:1295538577
Name:BREAKTHROUGH CHANGES COUNSELING
Entity type:Organization
Organization Name:BREAKTHROUGH CHANGES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-622-5090
Mailing Address - Street 1:539 LEETH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9243
Mailing Address - Country:US
Mailing Address - Phone:614-622-5090
Mailing Address - Fax:
Practice Address - Street 1:539 LEETH CREEK RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9243
Practice Address - Country:US
Practice Address - Phone:614-622-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management