Provider Demographics
NPI:1629709555
Name:BUILDING FOUNDATIONS COUNSELING AND CONSULTATION
Entity Type:Organization
Organization Name:BUILDING FOUNDATIONS COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-312-5801
Mailing Address - Street 1:2023 CLEAR VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5426
Mailing Address - Country:US
Mailing Address - Phone:270-312-5801
Mailing Address - Fax:
Practice Address - Street 1:1002 N MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2037
Practice Address - Country:US
Practice Address - Phone:270-982-9292
Practice Address - Fax:270-982-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty