Provider Demographics
NPI:1639062516
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:602-626-8112
Mailing Address - Fax:717-747-6522
Practice Address - Street 1:150 N OCOTILLO DR BLDG 3
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-3740
Practice Address - Country:US
Practice Address - Phone:602-626-8112
Practice Address - Fax:602-875-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility