| Building Blocks Therapy LLC | |
|
617 1st St Se Moultrie GA 31768-5507 | |
| (229) 456-2864 | |
| Not Available |
| Full Name | Building Blocks Therapy LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 617 1st St Se, Moultrie, Georgia |
| Authorized Official Name and Position | Glinda Marie Cannon (MANAGING MEMBER) |
| Authorized Official Contact | 2294562864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Blocks Therapy LLC 617 1st St Se Moultrie GA 31768-5507 Ph: (229) 456-2864 | Building Blocks Therapy LLC 617 1st St Se Moultrie GA 31768-5507 Ph: (229) 456-2864 |
| NPI Number | 1679497473 |
|---|---|
| Provider Enumeration Date | 08/05/2026 |
| Last Update Date | 08/05/2026 |
| Certification Date | 08/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679497473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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