Provider Demographics
NPI:1053623454
Name:BUILDING BLOCKS COUNSELING CENTER LLC
Entity type:Organization
Organization Name:BUILDING BLOCKS COUNSELING CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCARLET
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, NCC
Authorized Official - Phone:330-433-2390
Mailing Address - Street 1:7300 WHIPPLE AVE NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7159
Mailing Address - Country:US
Mailing Address - Phone:330-433-2390
Mailing Address - Fax:330-433-2391
Practice Address - Street 1:7300 WHIPPLE AVE NW
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7159
Practice Address - Country:US
Practice Address - Phone:330-433-2390
Practice Address - Fax:330-433-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0004334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty