Individual provider · Type 1 NPI

Shante Breitenbach

Professional Counselor · Rincon, GA

NPI number 1114409711 Active

Practice location

131 Silverwood Commercial Dr Ste 500
Rincon, GA 31326-5331

Call (912) 244-4600 Map

Mailing address

PO Box 6
Rincon, GA 31326-0006

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XLPC010454 (GA)

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About NPI 1114409711

Shante Breitenbach's National Provider Identifier is 1114409711, issued on Aug 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rincon, GA. The record was last updated on Dec 1, 2025.