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General NPI Number Information
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NPI Number | 1770347775
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Entity Type | Organization
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Legal Business Name | FOSTER YOUR MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 117 MAIN ST
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City | MILLSBORO
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State | DE
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Zip | 19966-8410
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Country | US
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Telephone | 724-484-3606
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Fax | 302-297-1770
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Provider Business Mailing Address
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Address Line | 12711 DUPONT BLVD
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City | ELLENDALE
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State | DE
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Zip | 19941-3306
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Country | US
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Telephone | 724-484-3606
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL FOSTER
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Credential | LPCMH
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Telephone | 724-484-3606
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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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