| Foundations Therapy And Consulting Llc | |
|
2894 106th St Ste 120 Urbandale IA 50322-3781 | |
| (515) 207-0063 | |
| Not Available |
| Full Name | Foundations Therapy And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2894 106th St Ste 120, Urbandale, Iowa |
| Authorized Official Name and Position | Ashley Nupp (OWNER) |
| Authorized Official Contact | 5154937968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Therapy And Consulting Llc 2894 106th St Ste 120 Urbandale IA 50322-3781 Ph: (515) 207-0063 | Foundations Therapy And Consulting Llc 2894 106th St Ste 120 Urbandale IA 50322-3781 Ph: (515) 207-0063 |
| NPI Number | 1821818550 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 4082144480 |
|---|---|
| Medicare Enrollment ID | O20250214001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821818550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joby Frank Holcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851670582 PECOS PAC ID: 2163952466 Enrollment ID: I20250214002066 |
| Provider Name | Ashley Nupp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568193159 PECOS PAC ID: 3072043371 Enrollment ID: I20250214002249 |
| Provider Name | John Anthony Bisenius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437558004 PECOS PAC ID: 0345770640 Enrollment ID: I20250228000187 |
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