Provider Demographics
NPI:1073883039
Name:BUILDING BRIDGES COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:BUILDING BRIDGES COUNSELING SERVICES LLC
Other - Org Name:RUTH K MACY, LISW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:K
Authorized Official - Last Name:MACY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:575-605-7074
Mailing Address - Street 1:726 E MICHIGAN DR
Mailing Address - Street 2:SUITE 136
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-3467
Mailing Address - Country:US
Mailing Address - Phone:575-605-7074
Mailing Address - Fax:575-393-0521
Practice Address - Street 1:726 E MICHIGAN DR
Practice Address - Street 2:SUITE 136
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-3467
Practice Address - Country:US
Practice Address - Phone:575-605-7074
Practice Address - Fax:575-393-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-060241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty