| Foundations Family Therapy Of North Carolina, Pllc | |
|
206 Raleigh St Fuquay Varina NC 27526-2263 | |
| (919) 285-4802 | |
| Not Available |
| Full Name | Foundations Family Therapy Of North Carolina, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 206 Raleigh St, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Jamie Katherine Criswell (OWNER/LICENSED MARRIAGE AND FAMILY) |
| Authorized Official Contact | 9192854802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Family Therapy Of North Carolina, Pllc Po Box 1927 Fuquay Varina NC 27526-2927 Ph: (919) 285-4802 | Foundations Family Therapy Of North Carolina, Pllc 206 Raleigh St Fuquay Varina NC 27526-2263 Ph: (919) 285-4802 |
| NPI Number | 1366793895 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366793895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1451 (North Carolina) | Primary |
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