Organization
FOUNDATIONS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA CREASBAUM LMHC (OWNER)
(219) 588-3540
Entity
Organization
Contact information
Practice address
630 COTTONWOOD DR, DYER, IN 46311-2207
(219) 588-3540
Mailing address
630 COTTONWOOD DR, DYER, IN 46311-2207
(219) 588-3540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39002363A
IN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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