MEDICARE: FOY WELLNESS AND RECOVERY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
5	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1659973154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOY WELLNESS AND RECOVERY, LLC

Provider Business Mailing Address
First Line	:	30125 AGOURA RD STE E
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4337
Country	:	US
Telephone Number	:	805-217-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	30125 AGOURA RD STE E
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4337
Country	:	US
Telephone Number	:	805-217-9500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEANNA FARNELL
Credential	:	CPA
Telephone Number	:	805-217-9500

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	03/31/2025

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