| Organization Name: | BREATH OF LIFE COUNSELING, LLC |
| NPI Number: | 1104270693 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA J STOUT (OWNER) |
| Mailing Address: | 71667 Leveson St Abita Springs |
| State: | LA US |
| Postal Code: | 704203635 |
| Phone Number: | 9852648089 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2016 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |