| Foundations, Llc | |
|
145 S Santa Claus Ln Unit 2 North Pole AK 99705-7702 | |
| (907) 488-8848 | |
| (907) 488-0695 |
| Full Name | Foundations, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 S Santa Claus Ln, North Pole, Alaska |
| Authorized Official Name and Position | Nina Elaine Wendt (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9074888848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations, Llc 145 S Santa Claus Ln Unit 2 North Pole AK 99705-7702 Ph: (907) 488-8848 | Foundations, Llc 145 S Santa Claus Ln Unit 2 North Pole AK 99705-7702 Ph: (907) 488-8848 |
| NPI Number | 1578977583 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578977583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 610 (Alaska) | Primary |
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