Healthcare Provider Details

I. General information

NPI: 1942120274
Provider Name (Legal Business Name): FOUNDATIONS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N 1ST ST
ALBEMARLE NC
28001-3951
US

IV. Provider business mailing address

305 FOSTER LN
ALBEMARLE NC
28001-9151
US

V. Phone/Fax

Practice location:
  • Phone: 704-438-0178
  • Fax:
Mailing address:
  • Phone: 704-438-0178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA D DUNLAP
Title or Position: OWNER
Credential: LMFT
Phone: 704-438-0178