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General NPI Number Information
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NPI Number | 1790600187
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Entity Type | Organization
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Legal Business Name | FOSTER PSYCHIATRIC WELLNESS GROUP, LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 3345 NW 21ST ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2711
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Country | US
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Telephone | 786-692-5369
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Fax | 954-717-0693
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Provider Business Mailing Address
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Address Line | 3345 NW 21ST ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2711
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Country | US
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Telephone | 786-692-5369
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Fax | 954-717-0693
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | DR. LISA MAY FOSTER
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 786-692-5369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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