FOUNDATIONS FAMILY LIFE COUNSELING AND CONSULTING, LLC (NPI# 1235613837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235613837 |
| Entity Type | Organization |
| Organization Name | FOUNDATIONS FAMILY LIFE COUNSELING AND CONSULTING, LLC |
| Practice Address |
2917 Millwood Ave # B Columbia SC 29205-1334 |
| Mailing Address |
222 Coatbridge Dr Blythewood SC 29016-9582 |
| Practice Telephone | 8038146218 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MRS. ANGELA LYNN WALDROP (CEO) |
| Authorized Official Telephone | 8038146218 |
| Authorized Official Credential | MFT, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MFT | 1609303650 | 01 |
| Street Address |
2917 MILLWOOD AVE # B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1427678051 | Colacalm LLC | Clinic/Center | 1332 Main St Ste 203205, Columbia, SC 29201-6201 | 2020-04-23 |
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| 1760042634 | Serenity Comprehensive Solutions, LLC | Clinic/Center | 26 Garden Springs Rd, Columbia, SC 29209-1716 | 2019-06-13 |
| 1346809100 | Breakthrough Counseling & Consulting, LLC | Clinic/Center | 1 Windsor Cv Ste 106, Columbia, SC 29223-1833 | 2019-06-06 |
| 1790298560 | Rise Beyond Counseling, LLC | Clinic/Center | 2218 Devine St, Columbia, SC 29205-2426 | 2017-11-14 |
| 1629589353 | Norahs, LLC | Clinic/Center | 11630 Little Patuxent Pkwy Apt 303, Columbia, MD 21044-4396 | 2017-10-20 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.