Healthcare Provider Details

I. General information

NPI: 1194434027
Provider Name (Legal Business Name): FIRM FOUNDATIONS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4107 LAFAYETTE BLVD STE 2
FREDERICKSBURG VA
22408-4266
US

IV. Provider business mailing address

4107 LAFAYETTE BLVD STE 2
FREDERICKSBURG VA
22408-4266
US

V. Phone/Fax

Practice location:
  • Phone: 540-760-4072
  • Fax:
Mailing address:
  • Phone: 540-760-4072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MEAGAN LOUISE HILL
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 540-760-4072