Foundation For Healing, Llc
Foundation For Healing, Llc is a health care provider in Prescott Valley, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 7148 N Sunrise Vis, Prescott Valley, AZ 86315-3039, US |
|Practice Location Phone||828-333-3485|
|Practice Location Fax|
|Legal Business Name||FOUNDATION FOR HEALING, LLC|
|Enumeration Date ? ||May 7, 2018|
|Last Update Date ? ||Jun 16, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Foundation For Healing, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Mental Health (Including Community Mental Health Center) ||LPC-14026||Arizona|
|Clinic/Center||Ambulatory Health Care Facilities||Multi-Specialty |
Legacy Provider IDs of Foundation For Healing, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Foundation For Healing, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Foundation For Healing, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Deborah M. Johansen (MS, LPC, NCC)|
|Authorized Official Title/Position||CLINICAL DIRECTOR|
|Authorized Official Phone Number||828-333-3485|