| Foundations Counseling Center, Inc. | |
|
202 Sanders St Athens AL 35611-1420 | |
| (256) 497-1790 | |
| (256) 998-5500 |
| Full Name | Foundations Counseling Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 202 Sanders St, Athens, Alabama |
| Authorized Official Name and Position | Will Johnson (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2564971790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling Center, Inc. 202 Sanders St Athens AL 35611-1420 Ph: (256) 497-1790 | Foundations Counseling Center, Inc. 202 Sanders St Athens AL 35611-1420 Ph: (256) 497-1790 |
| NPI Number | 1104193697 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 0446419881 |
|---|---|
| Medicare Enrollment ID | O20120305000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193697 | NPI | - | NPPES |
| Provider Name | Nancy D Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417103391 PECOS PAC ID: 0547429995 Enrollment ID: I20120305000626 |
| Provider Name | Jill A Gernert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548539505 PECOS PAC ID: 1254576051 Enrollment ID: I20161028000166 |
| Provider Name | Amanda Clairday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013489145 PECOS PAC ID: 1153740071 Enrollment ID: I20200926000139 |
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