Healthcare Provider Details

I. General information

NPI: 1780118356
Provider Name (Legal Business Name): BUILDING RESILIENCE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 COUNTY ROAD 72
FYFFE AL
35971-3566
US

IV. Provider business mailing address

9353 COUNTY ROAD 72
FYFFE AL
35971-3566
US

V. Phone/Fax

Practice location:
  • Phone: 256-601-7421
  • Fax:
Mailing address:
  • Phone: 256-601-7421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1295-3928C
License Number StateAL

VIII. Authorized Official

Name: KARI BRITT OWENS
Title or Position: THERAPIST/OWNER
Credential: LICSW, PIP
Phone: 256-601-7421