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NPI Code Detail

MEDICARE: ERIC FOSTER, INC.

MEDICARE: ERIC FOSTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39000890AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437478864
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC FOSTER, INC.
Provider Business Mailing Address
First Line : 322 W JEFFERSON ST
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Provider Business Practice Location Address
First Line : 322 WEST JEFFERSON ST.
Second Line :
City : PLYMOUTH
State : IN
Zip : 46563-1734
Country : US
Telephone Number : 574-936-3377
Fax Number : 574-936-3910
Authorized Official
Title or Position : OWNER
Name : MR. ERIC WAYNE FOSTER
Credential : MA, LMHC
Telephone Number : 574-936-3377
Provider Enumeration Date : 05/25/2010
Last Update Date : 05/25/2010

Similar Medicare Providers

1922172261 — ERIC W FOSTER LMHC
Practice Location Address:
322 W JEFFERSON ST
PLYMOUTH, IN
46563-1734
Practice Phone: 574-936-3377
Practice Fax: 574-936-3910
1255642740 — MR. PATRICK ALLEN O'CONNELL MA, LMHC
Practice Location Address:
322 W JEFFERSON ST
PLYMOUTH, IN
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Practice Fax: 574-936-3910
1679980619 — KATHLEEN J DAVIDSON LCAC
Practice Location Address:
322 W JEFFERSON ST
PLYMOUTH, IN
46563-1734
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Practice Fax: 574-936-3910
1457809444 — A NEW DIRECTION COUNSELING, INC.
Practice Location Address:
316 W JEFFERSON ST
PLYMOUTH, IN
46563-1734
Practice Phone: 574-966-5060
Practice Fax: 574-966-5060
1861131740 — PAMELA ANN WHISMAN MSW, LSW
Practice Location Address:
322 W JEFFERSON ST
PLYMOUTH, IN
46563-1734
Practice Phone: 574-936-3377
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1538957014 — KESHENA MARIE HUNTER
Practice Location Address:
322 W JEFFERSON ST
PLYMOUTH, IN
46563-1734
Practice Phone: 574-936-3377
Practice Fax: 574-936-3910

Directions to “ERIC FOSTER, INC. ” Practice Location

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