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General NPI Number Information
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NPI Number | 1710876008
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Entity Type | Organization
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Legal Business Name | BRIDGE BUILDER COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 3000 UNITED FOUNDERS BLVD STE 222
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-3958
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Country | US
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Telephone | 405-727-0138
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Fax | 405-242-3213
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Provider Business Mailing Address
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Address Line | 3000 UNITED FOUNDERS BLVD STE 222
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-3958
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Country | US
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Telephone | 405-727-0138
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Fax | 405-242-3213
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MR. JAMES EARL ROBERSON II
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Credential | LPC
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Telephone | 405-727-0138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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