| Fostering Change Counseling Services Llc | |
|
2826 Hillcreek Dr Augusta GA 30909-5628 | |
| (706) 447-9722 | |
| Not Available |
| Full Name | Fostering Change Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2826 Hillcreek Dr, Augusta, Georgia |
| Authorized Official Name and Position | Carlos Justavis Foster (CEO) |
| Authorized Official Contact | 7064479722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fostering Change Counseling Services Llc 3031 Brockham Ct Augusta GA 30909-0629 Ph: (706) 945-9731 | Fostering Change Counseling Services Llc 2826 Hillcreek Dr Augusta GA 30909-5628 Ph: (706) 447-9722 |
| NPI Number | 1669918231 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669918231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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