Provider Demographics
NPI:1962867242
Name:BUILDING FOUNDATIONS COUNSELING, INC
Entity Type:Organization
Organization Name:BUILDING FOUNDATIONS COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GHENT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:863-614-5117
Mailing Address - Street 1:202 LAKE MIRIAM DR STE W1
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2179
Mailing Address - Country:US
Mailing Address - Phone:863-614-5117
Mailing Address - Fax:
Practice Address - Street 1:202 LAKE MIRIAM DR STE W1
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2179
Practice Address - Country:US
Practice Address - Phone:863-614-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty