FOUNDATIONS 4 LIFE LLC NPI 1982218343

NPI Information

NPI: 1982218343
Provider Name: FOUNDATIONS 4 LIFE, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2956 NORTH AVE STE 6
GRAND JUNCTION, CO
ZIP 81504
Phone: (970) 589-1649
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FOUNDATIONS 4 LIFE, LLC is an addiction (substance use disorder) counselor in Grand Junction, CO. FOUNDATIONS 4 LIFE, LLC NPI is 1982218343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2956 NORTH AVE STE 6
GRAND JUNCTION, CO
ZIP 81504-919
Phone: (970) 589-1649
Fax: (970) 986-8036

The provider's authorized official is Aaron Joseph Jimenez .
The authorized official title is Owner/therapist and has the following contact phone number (970) 589-1649.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 10/23/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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	1457795833	OTHER	COLORADO	PERSONAL NPI

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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