# STEPHEN FOSS LLC

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

## Provider details

- **NPI number:** 1588793194
- **Authorized official:** MR. STEPHEN FOSS LMFT (OWNER)
- **Authorized official phone:** (336) 287-3843

## Contact information

- **Practice address:** 2735 HENNING DR STE A, WINSTON SALEM, NC 27106-4578
- **Practice address phone:** (800) 388-9804
- **Practice address fax:** (336) 701-6902
- **Mailing address:** 1959 N PEACE HAVEN RD \# 201, WINSTON SALEM, NC 27106-4850
- **Mailing address phone:** (336) 287-3843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 821 | NC | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 10/02/2018
