Organization
FOUNDATIONS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISA COLLEEN KELLY-MARTINA LCSW (EXECUTIVE CO-DIRECTOR)
(608) 424-9100
Entity
Organization
Contact information
Practice address
629 RIVER ST STE C, BELLEVILLE, WI 53508-9189
(608) 424-9100
(608) 424-9099
Mailing address
629 RIVER ST STE C, BELLEVILLE, WI 53508-9189
(608) 445-0710
(608) 424-9099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2508
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42234600
—
WI
Enumeration date
07/06/2007
Last updated
07/15/2025
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