Organization · NPI-2

Building Bonds Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Florissant, MO

NPI number1619643046
StatusActive
Last updated in NPPESAug 17, 2021

Details

NPI
1619643046
Entity type
Organization (NPI-2)
Legal business name
Building Bonds Counseling, LLC
Organization subpart
No
Enumeration date
Aug 17, 2021
Certification date
Aug 17, 2021
Last updated
Aug 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

775 Loyola Dr
Florissant, MO 63031-7253

Phone 314-398-8153 · Fax 949-561-5736

Mailing address

775 Loyola Dr
Florissant, MO 63031-7253

Phone 314-398-8153 · Fax 949-561-5736

Authorized official

Ay'Anna Mills
Owner
3143988153

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