Organization · Type 2 NPI

Breakthrough Glow, LLC

Mental Health Counselor · Virginia Beach, VA

NPI number 1235997164 Active

Practice location

460 Investors Pl Ste 106
Virginia Beach, VA 23452-1166

Fax (757) 665-2855

Mailing address

PO Box 4510
Norfolk, VA 23523-0510

Other practice locations

  • 701 Berkley Avenue Ext, Norfolk, VA 23523-1509 · (757) 545-5963

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235997164

Breakthrough Glow, LLC's National Provider Identifier is 1235997164, issued on Mar 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Virginia Beach, VA. The record was last updated on May 7, 2026.