| Foundation Therapies, Inc. | |
|
106 Chestnut St E # 308 Stillwater MN 55082-5116 | |
| (651) 472-6535 | |
| Not Available |
| Full Name | Foundation Therapies, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 106 Chestnut St E # 308, Stillwater, Minnesota |
| Authorized Official Name and Position | Beth Ryland (OWNER) |
| Authorized Official Contact | 6514726535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Therapies, Inc. 106 Chestnut St E # 308 Stillwater MN 55082-5116 Ph: (651) 472-6535 | Foundation Therapies, Inc. 106 Chestnut St E # 308 Stillwater MN 55082-5116 Ph: (651) 472-6535 |
| NPI Number | 1477214591 |
|---|---|
| Provider Enumeration Date | 01/02/2022 |
| Last Update Date | 01/02/2022 |
| Certification Date | 01/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477214591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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