| Foundations Counseling And Wellness Center, Llc | |
|
105 Central Ave Ste 18100-b Goose Creek SC 29445-3084 | |
| (854) 588-5710 | |
| (843) 429-8998 |
| Full Name | Foundations Counseling And Wellness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 Central Ave Ste 18100-b, Goose Creek, South Carolina |
| Authorized Official Name and Position | Alicia Ruth Zorn (OWNER/THERAPIST) |
| Authorized Official Contact | 8435885710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling And Wellness Center, Llc 105 Central Ave Ste 18100-b Goose Creek SC 29445-3084 Ph: (854) 588-5710 | Foundations Counseling And Wellness Center, Llc 105 Central Ave Ste 18100-b Goose Creek SC 29445-3084 Ph: (854) 588-5710 |
| NPI Number | 1023604964 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023604964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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