Provider Demographics
NPI:1710876008
Name:BRIDGE BUILDER COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:BRIDGE BUILDER COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:II
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-727-0138
Mailing Address - Street 1:3000 UNITED FOUNDERS BLVD STE 222
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3958
Mailing Address - Country:US
Mailing Address - Phone:405-727-0138
Mailing Address - Fax:405-242-3213
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD STE 222
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3958
Practice Address - Country:US
Practice Address - Phone:405-727-0138
Practice Address - Fax:405-242-3213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIDGE BUILDER COUNSELING & CONSULTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health