Healthcare Provider Details

I. General information

NPI: 1437077401
Provider Name (Legal Business Name): FOUNDATIONS OF SELF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N BELL AVE BUILDING 1, SUITE 117B
CARNEGIE PA
15106-4301
US

IV. Provider business mailing address

600 N BELL AVE
CARNEGIE PA
15106-4301
US

V. Phone/Fax

Practice location:
  • Phone: 412-550-0740
  • Fax:
Mailing address:
  • Phone: 412-550-0740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA M ADAMS
Title or Position: OWNER
Credential:
Phone: 412-550-0740