Organization
FOUNDATIONS COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA VERA C POTTS LPC (CEO)
(919) 900-7140
Entity
Organization
Contact information
Practice address
183 WIND CHIME CT, SUITE 204, RALEIGH, NC 27615-6461
(919) 900-7140
Mailing address
183 WIND CHIME CT, SUITE 204, RALEIGH, NC 27615-6461
(919) 900-7140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005812
—
NC
Enumeration date
09/23/2009
Last updated
09/23/2009
Update your record
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