Provider Demographics
NPI:1952714685
Name:BUILDINGCHILDREN
Entity Type:Organization
Organization Name:BUILDINGCHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POTTORF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-852-8200
Mailing Address - Street 1:4650 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3612
Mailing Address - Country:US
Mailing Address - Phone:918-852-8200
Mailing Address - Fax:
Practice Address - Street 1:7915 E 17TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-7839
Practice Address - Country:US
Practice Address - Phone:918-852-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty