Provider Demographics
NPI:1619795986
Name:BUILDING BRIDGES COUNSELING SERVICES
Entity type:Organization
Organization Name:BUILDING BRIDGES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEIZER
Authorized Official - Suffix:
Authorized Official - Credentials:PIP-LCSW
Authorized Official - Phone:605-503-1324
Mailing Address - Street 1:3915 FALCON DR # USA
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-9718
Mailing Address - Country:US
Mailing Address - Phone:605-381-5741
Mailing Address - Fax:
Practice Address - Street 1:2040 W MAIN ST STE 212
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2446
Practice Address - Country:US
Practice Address - Phone:605-503-1324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty