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Organization

FOUNDATIONS INTEGRATIVE PSYCHIATRY AND MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA MARTIN HUCKS APRN (OWNER/OPERATOR)
(276) 525-0031
Entity
Organization

Contact information

Practice address
121 RUSSELL RD NW, ABINGDON, VA 24210-2758
(276) 525-0031
Mailing address
26669 NEWBANKS RD, ABINGDON, VA 24210-7592
(276) 525-0031

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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