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General NPI Number Information
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NPI Number | 1073466801
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1905 KRUCHTEN CT S
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City | SARTELL
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State | MN
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Zip | 56377-4645
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Country | US
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Telephone | 320-290-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 KRUCHTEN CT S
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City | SARTELL
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State | MN
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Zip | 56377-4645
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Country | US
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Telephone | 320-290-0693
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISTINE WAINRIGHT-TADYCH
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Credential | LP
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Telephone | 320-290-0693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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