| Foundation Of Health | |
|
1706 S Burnside Ave Gonzales LA 70737-4448 | |
| (225) 715-5065 | |
| Not Available |
| Full Name | Foundation Of Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1706 S Burnside Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | Amber Thompson (OWNER) |
| Authorized Official Contact | 2257155065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Of Health Po Box 2207 Gonzales LA 70707-2207 Ph: (225) 715-5065 | Foundation Of Health 1706 S Burnside Ave Gonzales LA 70737-4448 Ph: (225) 715-5065 |
| NPI Number | 1902687403 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902687403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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