FOOTPRINTS CARES LLC NPI 1306503594

NPI Information

NPI: 1306503594
Provider Name: FOOTPRINTS CARES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
409 E MAIN ST STE 102
RICHMOND, VA
ZIP 23219
Phone: (804) 716-8739
Get Directions

FOOTPRINTS CARES LLC is a professional counselor in Richmond, VA. FOOTPRINTS CARES LLC NPI is 1306503594. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

409 E MAIN ST STE 102
RICHMOND, VA
ZIP 23219-845
Phone: (804) 716-8739
Fax: (804) 597-3665

The provider's authorized official is Mikia A Noble .
The authorized official title is Ceo, Director and has the following contact phone number (434) 480-2020.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	102L00000X	Psychoanalyst		No
5	103K00000X	Behavior Analyst		No
6	103T00000X	Psychologist		No
7	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
8	103TB0200X	Psychologist	Cognitive & Behavioral	No
9	103TC0700X	Psychologist	Clinical	No
10	103TC1900X	Psychologist	Counseling	No
11	103TC2200X	Psychologist	Clinical Child & Adolescent	No
12	103TP2701X	Psychologist	Group Psychotherapy	No
13	1041C0700X	Social Worker	Clinical	No
14	106H00000X	Marriage & Family Therapist		No
15	101YP2500X	Counselor	Professional	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	1942825286	MEDICAID	VIRGINIA

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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