| Foundations Counseling Pllc | |
|
7165 Colleyville Blvd Ste 103 Colleyville TX 76034-8011 | |
| (817) 697-4777 | |
| Not Available |
| Full Name | Foundations Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7165 Colleyville Blvd Ste 103, Colleyville, Texas |
| Authorized Official Name and Position | Russell Adam Baxter (OWNER) |
| Authorized Official Contact | 8176974777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling Pllc 7165 Colleyville Blvd Ste 103 Colleyville TX 76034-8011 Ph: (817) 697-4777 | Foundations Counseling Pllc 7165 Colleyville Blvd Ste 103 Colleyville TX 76034-8011 Ph: (817) 697-4777 |
| NPI Number | 1962072041 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962072041 | NPI | - | NPPES |
| 1750707139 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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