Organization
AMY D. FOSTER
Active
Other names
Fostering Minds
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY DIACHENKO FOSTER MA, LPA (OWNER)
(336) 223-4606
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD STE 303, CLEMMONS, NC 27012-8749
(336) 223-5060
(855) 726-7734
Mailing address
PO BOX 723, YADKINVILLE, NC 27055-0723
(336) 223-4606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
3555
NC
Other
Enumeration date
12/09/2010
Last updated
08/31/2022
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