Provider Demographics
NPI:1235944133
Name:BUILDING BLOCKS THERAPY OF TEXAS PLLC
Entity type:Organization
Organization Name:BUILDING BLOCKS THERAPY OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:727-709-7751
Mailing Address - Street 1:2706 CHINABERRY PARK LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3355
Mailing Address - Country:US
Mailing Address - Phone:727-709-7751
Mailing Address - Fax:
Practice Address - Street 1:2706 CHINABERRY PARK LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3355
Practice Address - Country:US
Practice Address - Phone:727-709-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health