Provider Demographics
NPI:1902798309
Name:BUILDING BLOCKS COUNSELING, LLC
Entity type:Organization
Organization Name:BUILDING BLOCKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-626-8112
Mailing Address - Street 1:3030 N CENTRAL AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2825
Mailing Address - Country:US
Mailing Address - Phone:480-409-3479
Mailing Address - Fax:602-975-2194
Practice Address - Street 1:3008 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-3002
Practice Address - Country:US
Practice Address - Phone:602-626-8112
Practice Address - Fax:602-975-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility