Provider Demographics
NPI:1184376980
Name:BUILDING BRIDGES COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:BUILDING BRIDGES COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:540-709-1481
Mailing Address - Street 1:12023 LYNX DR
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-4165
Mailing Address - Country:US
Mailing Address - Phone:540-709-1481
Mailing Address - Fax:855-746-0800
Practice Address - Street 1:12023 LYNX DR
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-4165
Practice Address - Country:US
Practice Address - Phone:407-091-4815
Practice Address - Fax:855-746-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904020189OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE
VA1881193399OtherPERSONAL NPI