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General NPI Number Information
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NPI Number | 1104235423
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Entity Type | Organization
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Legal Business Name | FOUNDATIONAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 24100 CHAGRIN BLVD STE 250
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City | BEACHWOOD
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State | OH
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Zip | 44122-5530
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Country | US
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Telephone | 440-343-8069
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Fax | 440-264-1990
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Provider Business Mailing Address
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Address Line | 24100 CHAGRIN BLVD STE 250
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City | BEACHWOOD
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State | OH
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Zip | 44122-5530
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Country | US
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Telephone | 440-343-8069
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Fax | 440-264-1990
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Authorized Official
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Title or Position | CEO
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Name | DR. CYNTHIA E. WOODS
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Credential | LPCC-S
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Telephone | 216-695-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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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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