FOUNDATIONS FAMILY SUPPORT LLC NPI 1083103238

NPI Information

NPI: 1083103238
Provider Name: FOUNDATIONS FAMILY SUPPORT LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
922 S COWLEY ST STE 9
SPOKANE, WA
ZIP 99202
Phone: (509) 822-6777
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FOUNDATIONS FAMILY SUPPORT LLC is a mental health counselor in Spokane, WA. FOUNDATIONS FAMILY SUPPORT LLC NPI is 1083103238. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

922 S COWLEY ST STE 9
SPOKANE, WA
ZIP 99202-263
Phone: (509) 822-6777
Fax: (509) 822-6777

The provider's authorized official is Trevor Liebing .
The authorized official title is Therapist/owner and has the following contact phone number (509) 822-6777.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	106H00000X	Marriage & Family Therapist				No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health			No
4	101YM0800X	Counselor	Mental Health	LH60786955	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2104214	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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