Provider Demographics
NPI:1508491168
Name:BUILDING BETTER MEN COUNSELING LLC
Entity Type:Organization
Organization Name:BUILDING BETTER MEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ODIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:313-772-0110
Mailing Address - Street 1:440 BURROUGHS ST STE 149
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3467
Mailing Address - Country:US
Mailing Address - Phone:313-772-0110
Mailing Address - Fax:
Practice Address - Street 1:440 BURROUGHS ST STE 149
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3467
Practice Address - Country:US
Practice Address - Phone:313-772-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty