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Organization
FOUNDATIONS INTEGRATIVE PSYCHIATRY AND MEDICINE
Active
Organization
FOUNDATIONS INTEGRATIVE PSYCHIATRY AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA MARTIN HUCKS APRN (AUTHORIZED OFFICIAL)
(276) 265-7255
Entity
Organization
Contact information
Practice address
121 RUSSELL RD NW, ABINGDON, VA 24210-2758
(276) 265-7255
(276) 200-6093
Mailing address
2121 RUSSEL ROAD NW, ABINGDON, VA 24210-7255
(276) 265-7255
(276) 200-6093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
09/14/2026
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