MEDICARE: MS. DAWN M FOSTER ED.S., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT000661	GA

General Provider Information

NPI Number	:	1174662415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN M FOSTER ED.S., LMFT

Provider Business Mailing Address
First Line	:	200 HEMBREE FOREST CIR
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-1196
Country	:	US
Telephone Number	:	770-299-4482
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 COLONIAL PARK DR STE 301
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30075-3788
Country	:	US
Telephone Number	:	770-299-4482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	01/22/2020

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