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NPI Code Detail

MEDICARE: FOSTER SYNERGY

MEDICARE: FOSTER SYNERGY
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1528915725
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOSTER SYNERGY
Provider Business Mailing Address
First Line : 2520 BENTON AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-2733
Country : US
Telephone Number : 269-270-0011
Fax Number :
Provider Business Practice Location Address
First Line : 2520 BENTON AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-2733
Country : US
Telephone Number : 269-270-0011
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GLENN A FOSTER
Credential : LPC
Telephone Number : 269-270-0011
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “FOSTER SYNERGY ” Practice Location

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