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General NPI Number Information
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NPI Number | 1700779303
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS TO SUCCESS, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 701 HOWMET DR STE A
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City | HAMPTON
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State | VA
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Zip | 23661-1001
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Country | US
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Telephone | 757-812-7420
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Fax | 757-765-6109
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Provider Business Mailing Address
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Address Line | 739 THIMBLE SHOALS BLVD STE 1003
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3585
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Country | US
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Telephone | 757-782-2181
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Fax | 757-299-8317
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEPHEN FOSTER
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Credential |
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Telephone | 757-782-2181
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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