Healthcare Provider Details

I. General information

NPI: 1780504639
Provider Name (Legal Business Name): BUILDING STRONG MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 TAPO ST STE 204
SIMI VALLEY CA
93063-0467
US

IV. Provider business mailing address

893 VALLEJO AVE
SIMI VALLEY CA
93065-5660
US

V. Phone/Fax

Practice location:
  • Phone: 818-853-4252
  • Fax:
Mailing address:
  • Phone: 818-853-4252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SUARD
Title or Position: CEO
Credential: LCSW
Phone: 818-853-4253