Provider Demographics
NPI:1194254433
Name:BUILDING HOPE THERAPY & CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:BUILDING HOPE THERAPY & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LEESHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW-CP, LCSW
Authorized Official - Phone:704-223-0703
Mailing Address - Street 1:568 N ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7300
Mailing Address - Country:US
Mailing Address - Phone:803-524-5187
Mailing Address - Fax:803-324-0208
Practice Address - Street 1:568 N ANDERSON RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-7300
Practice Address - Country:US
Practice Address - Phone:803-524-5187
Practice Address - Fax:803-324-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health