Healthcare Provider Details

I. General information

NPI: 1245156793
Provider Name (Legal Business Name): LENETTE NICOLE FOSTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 MOUNTAIN AVE STE 304
NEW PROVIDENCE NJ
07974-2731
US

IV. Provider business mailing address

5237 REINHARD ST
PHILADELPHIA PA
19143-5019
US

V. Phone/Fax

Practice location:
  • Phone: 215-909-2435
  • Fax:
Mailing address:
  • Phone: 215-909-2435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018589
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: