Provider Demographics
NPI:1356215404
Name:BREAKING BARRIERS INC CORPORATION
Entity type:Organization
Organization Name:BREAKING BARRIERS INC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CHW
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVORD
Authorized Official - Middle Name:JR
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:612-355-6319
Mailing Address - Street 1:36 FRONT AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4933
Mailing Address - Country:US
Mailing Address - Phone:612-355-6319
Mailing Address - Fax:612-230-4260
Practice Address - Street 1:36 FRONT AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4933
Practice Address - Country:US
Practice Address - Phone:612-355-6319
Practice Address - Fax:612-230-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty