Provider Demographics
NPI:1508427444
Name:BUILDING FAMILIES ACCORDING TO PATTERN, LLC
Entity Type:Organization
Organization Name:BUILDING FAMILIES ACCORDING TO PATTERN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, MSEE, CPLC
Authorized Official - Phone:305-494-0700
Mailing Address - Street 1:180 NE 12TH AVE APT 15C
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4551
Mailing Address - Country:US
Mailing Address - Phone:305-494-0700
Mailing Address - Fax:
Practice Address - Street 1:2500 HOLLYWOOD BLVD STE 401
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6615
Practice Address - Country:US
Practice Address - Phone:786-471-8312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty