Organization · Type 2 NPI
Foundations Family and Individual Counseling, LLC
Adult Mental Health Clinic/Center · Rockford, IL
NPI number
1093486649
Active
Practice location
124 N Water St Ste 303B
Rockford, IL 61107-3975
Mailing address
1805 Clinton St
Rockford, IL 61103-4805
Other practice locations
- 1805 Clinton St, Rockford, IL 61103-4805 · (815) 540-8410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1093486649
Foundations Family and Individual Counseling, LLC's National Provider Identifier is 1093486649, issued on Sep 23, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Rockford, IL. The record was last updated on Nov 1, 2021.