Organization Name: | BRICK BY BRICK MENTAL HEALTH COUNSELING AND SPIRITUAL GUIDANCE |
NPI Number: | 1710304795 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ELIZABETH HARDY GARCIA (OWNER) |
Mailing Address: | 102 Biggs Lane South Shore |
State: | KY US |
Postal Code: | 41175 |
Phone Number: | 7405775289 |
Fax Number: | 6069322453 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | KY1378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |