Provider Demographics
NPI:1205507431
Name:BUILDING A FAMILY COLLECTIVE
Entity type:Organization
Organization Name:BUILDING A FAMILY COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KLUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:210-325-9823
Mailing Address - Street 1:110 CHERRY ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3406
Mailing Address - Country:US
Mailing Address - Phone:210-325-9823
Mailing Address - Fax:
Practice Address - Street 1:110 CHERRY ST
Practice Address - Street 2:SUITE 110
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3406
Practice Address - Country:US
Practice Address - Phone:210-325-9823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty