Organization
BUILDING BLOCKS CHILD AND ADULT PSYCHOTHERAPY, LLC
Active
Other names
Building Blocks Child and Adult Psychotherapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS WHITNEY DAVIDSON LCMHC (OWNER)
(603) 831-6392
Entity
Organization
Contact information
Practice address
20 GROVE ST, SUITE 200, PETERBOROUGH, NH 03458-1470
(603) 831-6392
(603) 924-4215
Mailing address
20 GROVE ST, SUITE 200, PETERBOROUGH, NH 03458-1470
(603) 831-6392
(603) 924-4215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
985
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089977
—
NH
01
—
3092409
MEDICAID GROUP ID #
NH
Enumeration date
02/09/2014
Last updated
02/09/2014
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