Provider Demographics
NPI:1831853605
Name:BUILDING MASTERY WELLNESS, PLLC
Entity type:Organization
Organization Name:BUILDING MASTERY WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-994-0114
Mailing Address - Street 1:17 PLAZA WAY # 1004
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-4601
Mailing Address - Country:US
Mailing Address - Phone:508-203-7830
Mailing Address - Fax:
Practice Address - Street 1:17 PLAZA WAY # 1004
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-4601
Practice Address - Country:US
Practice Address - Phone:508-203-7830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health