The Village Builders Community Development Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3171 Issued in OK

Legal business name

THE VILLAGE BUILDERS COMMUNITY DEVELOPMENT FOUNDATION

Practice address

1303 W Gore Blvd
Suite 6
Lawton, OK 73501-3645

Phone

(580) 512-9862

NPI assigned

Jan 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea L Farmer, NCC,LPC,LMFT,LADC

Title

Ceo

Phone

(580) 512-9862

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1821234469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8012",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735062012",
            "telephone_number": "580-512-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W GORE BLVD",
            "address_2": "SUITE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013645",
            "telephone_number": "580-512-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE BUILDERS COMMUNITY DEVELOPMENT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-512-9862",
        "authorized_official_credential": "NCC,LPC,LMFT,LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lawton, OK
• Providers in Lawton, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.