Healthcare Provider Details

I. General information

NPI: 1982519864
Provider Name (Legal Business Name): FOUNDATIONS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 N CENTENNIAL DR FL 3
MUNSTER IN
46321-4077
US

IV. Provider business mailing address

9601 N CENTENNIAL DR FL 3
MUNSTER IN
46321-4077
US

V. Phone/Fax

Practice location:
  • Phone: 219-357-7656
  • Fax: 219-357-7657
Mailing address:
  • Phone: 219-357-7656
  • Fax: 219-357-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAMEKA WILLIAMS
Title or Position: OWNER/OPERATOR
Credential: LMHC
Phone: 219-357-7656