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General NPI Number Information
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NPI Number | 1013780261
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS BEHAVIORAL LLC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2890 CARPENTER RD STE 1500
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City | ANN ARBOR
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State | MI
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Zip | 48108-1196
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Country | US
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Telephone | 517-896-7381
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 970541
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City | YPSILANTI
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State | MI
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Zip | 48197-0068
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Country | US
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Telephone | 517-896-7381
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Fax |
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Authorized Official
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Title or Position | LPC, OWNER
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Name | ESTHER DALE
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Credential |
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Telephone | 517-896-7381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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