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NPI Code Detail

MEDICARE: BUILDING BLOCKS COUNSELING,LLC

MEDICARE: BUILDING BLOCKS COUNSELING,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1215616735
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUILDING BLOCKS COUNSELING,LLC
Provider Business Mailing Address
First Line : PO BOX 10690
Second Line :
City : PHOENIX
State : AZ
Zip : 85064-0690
Country : US
Telephone Number : 602-975-2194
Fax Number :
Provider Business Practice Location Address
First Line : 4040 E MCDOWELL RD STE 215&217
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4414
Country : US
Telephone Number : 602-975-2194
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : VERN JOHNSON
Credential :
Telephone Number : 602-524-0583
Provider Enumeration Date : 07/12/2023
Last Update Date : 07/12/2023

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Directions to “BUILDING BLOCKS COUNSELING,LLC ” Practice Location

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