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General NPI Number Information
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NPI Number | 1598650178
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS COUNSELING, LLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 150 N OCOTILLO DR FL 1
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-3740
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Country | US
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Telephone | 602-626-8112
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Fax | 602-875-0242
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Provider Business Mailing Address
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Address Line | 3030 N CENTRAL AVE STE 506
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City | PHOENIX
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State | AZ
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Zip | 85012-2825
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Country | US
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Telephone | 602-626-8112
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | VERN JOHNSON
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Credential |
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Telephone | 602-626-8112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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