Provider Demographics
NPI:1003631243
Name:BUILDING BRIDGES COUNSELING CENTER
Entity type:Organization
Organization Name:BUILDING BRIDGES COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:B
Authorized Official - Last Name:KERKHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-601-6603
Mailing Address - Street 1:687 BELDEN ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1309
Mailing Address - Country:US
Mailing Address - Phone:831-601-6603
Mailing Address - Fax:831-643-1003
Practice Address - Street 1:157 SARGENT CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3115
Practice Address - Country:US
Practice Address - Phone:831-655-3954
Practice Address - Fax:831-655-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty