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General NPI Number Information
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NPI Number | 1184376980
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Entity Type | Organization
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Legal Business Name | BUILDING BRIDGES COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 01/23/2022
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Last Update Date | 01/23/2022
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Provider Practice Location Address
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Address Line | 12023 LYNX DR
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City | KING GEORGE
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State | VA
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Zip | 22485-4165
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Country | US
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Telephone | 407-091-4815
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Fax | 855-746-0800
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Provider Business Mailing Address
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Address Line | 12023 LYNX DR
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City | KING GEORGE
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State | VA
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Zip | 22485-4165
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Country | US
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Telephone | 540-709-1481
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Fax | 855-746-0800
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | CATHERINE ANN POWELL
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Credential | LCSW
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Telephone | 540-709-1481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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