| Foundations To Success, Llc | |
|
739 Thimble Shoals Blvd Ste 1003 Newport News VA 23606-3585 | |
| (757) 947-5500 | |
| (757) 299-8317 |
| Full Name | Foundations To Success, Llc |
|---|---|
| Speciality | Counselor |
| Location | 739 Thimble Shoals Blvd Ste 1003, Newport News, Virginia |
| Authorized Official Name and Position | Stephen Laroy Foster (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7579475500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations To Success, Llc 739 Thimble Shoals Blvd Ste 1003 Newport News VA 23606-3585 Ph: (757) 947-5500 | Foundations To Success, Llc 739 Thimble Shoals Blvd Ste 1003 Newport News VA 23606-3585 Ph: (757) 947-5500 |
| NPI Number | 1538887898 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 8123561503 |
|---|---|
| Medicare Enrollment ID | O20240614000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538887898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephen Laroy Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447964531 PECOS PAC ID: 0941743322 Enrollment ID: I20240614000474 |
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