Provider Demographics
NPI:1669028940
Name:BUILDING ON DREAMS COUNSELING AGENCY LLC
Entity Type:Organization
Organization Name:BUILDING ON DREAMS COUNSELING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUTTS-RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:334-447-1806
Mailing Address - Street 1:74 DEERFIELD CT APT 404
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36322-4127
Mailing Address - Country:US
Mailing Address - Phone:334-447-1806
Mailing Address - Fax:
Practice Address - Street 1:74 DEERFIELD CT APT 404
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36322-4127
Practice Address - Country:US
Practice Address - Phone:334-447-1806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty