Healthcare Provider Details
I. General information
NPI: 1851252498
Provider Name (Legal Business Name): THE FOUNDRY COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
839 VFW MEMORIAL DR STE 4
SAINT ROBERT MO
65584-4775
US
IV. Provider business mailing address
106 SAW MILL RD
SAINT ROBERT MO
65584-4711
US
V. Phone/Fax
- Phone: 573-337-7775
- Fax:
- Phone: 208-757-8949
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERICA
ASBELL
Title or Position: OWNER/MANAGER
Credential: LCSW RPT
Phone: 208-757-8949