| Foundations For L.i.f.e. | |
|
6928 Nw 30th Ave # 6928 Fort Lauderdale FL 33309-1337 | |
| (954) 947-1247 | |
| Not Available |
| Full Name | Foundations For L.i.f.e. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6928 Nw 30th Ave # 6928, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Andromeda Moodie (LICENSED MARRIAGE & FAMILY THERAPIS) |
| Authorized Official Contact | 9545946816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations For L.i.f.e. 6928 Nw 30th Ave Fort Lauderdale FL 33309-1337 Ph: (954) 594-6816 | Foundations For L.i.f.e. 6928 Nw 30th Ave # 6928 Fort Lauderdale FL 33309-1337 Ph: (954) 947-1247 |
| NPI Number | 1477292118 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477292118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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