Provider Demographics
NPI:1386366359
Name:KINGDOM BUILDING COUNSELING, PLLC
Entity type:Organization
Organization Name:KINGDOM BUILDING COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STARR
Authorized Official - Middle Name:REECE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-301-7127
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-0506
Mailing Address - Country:US
Mailing Address - Phone:336-422-6882
Mailing Address - Fax:
Practice Address - Street 1:7715 TALL MEADOWS DR
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-6706
Practice Address - Country:US
Practice Address - Phone:336-422-6882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health