# FOUNDATIONS COUNSELING AND WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023604964
- **Authorized official:** MRS. ALICIA RUTH ZORN LISW-CP (OWNER/THERAPIST)
- **Authorized official phone:** (843) 588-5710

## Contact information

- **Practice address:** 105 CENTRAL AVE STE 18100-B, GOOSE CREEK, SC 29445-3084
- **Practice address phone:** (854) 588-5710
- **Practice address fax:** (843) 429-8998
- **Mailing address:** 105 CENTRAL AVE STE 18100-B, GOOSE CREEK, SC 29445-3084
- **Mailing address phone:** (854) 588-5710
- **Mailing address fax:** (843) 429-8998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2020
- **Last updated:** 12/15/2020