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HEALTHY FOUNDATIONS GROUP LLC NPI 1215336706


NPI Information

NPI: 1215336706
Provider Name: HEALTHY FOUNDATIONS GROUP, LLC

Doing Business As: HEALTHY FOUNDATIONS GROUP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 21D2255014

Address:
4350 E WEST HWY STE 200
BETHESDA, MD
ZIP 20814
Phone: (888) 715-1120
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HEALTHY FOUNDATIONS GROUP, LLC is a mental health (including community mental health center) clinic center in Bethesda, MD. HEALTHY FOUNDATIONS GROUP, LLC NPI is 1215336706. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy Foundations Group.

The provider's business location address is:

4350 E WEST HWY STE 200
BETHESDA, MD
ZIP 20814
Phone: (888) 715-1120
Fax: (888) 715-1130

The provider's authorized official is Kurt Norman Koches .
The authorized official title is Executive Director and has the following contact phone number (301) 970-4011.

The CLIA number assigned to this NPI record is 21D2255014 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2014 and was last updated on 9/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/14/2023

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