Provider Demographics
NPI:1366119505
Name:PAUSE N BREATHE LIFE COUNSELING PLLC
Entity type:Organization
Organization Name:PAUSE N BREATHE LIFE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAMACHO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-840-4133
Mailing Address - Street 1:10734 IMPALA SPGS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2791
Mailing Address - Country:US
Mailing Address - Phone:210-840-4133
Mailing Address - Fax:210-942-4660
Practice Address - Street 1:9258 CULEBRA RD STE 130
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2877
Practice Address - Country:US
Practice Address - Phone:210-840-4133
Practice Address - Fax:210-942-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty