Foundations to Healing

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FOUNDATIONS TO HEALING

Practice address

838 E New York Ave
Deland, FL 32724-5662

Phone

(386) 748-6097

NPI assigned

Sep 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine Russell

Title

President

Phone

(386) 748-6097

Specialties & licenses 1

Addresses

Other names 1

• Foundations to Healing Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1104653575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245662",
            "telephone_number": "386-748-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245662",
            "telephone_number": "386-748-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS TO HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-748-6097"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations to Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Miller Forare, PSY.D.
• Lloyd Antoni Forbes, MD
• Amanda Ford
• Jennifer Fortin, DR.
• Fortune Dental Associates, Inc.
• April Summerford Frahm, FNP-C
• Karina Franceschini
• Shawn Lynn Francis
• Michele M Franco, RPH
• Ginamarie Francolino, LMHC

• Substance Use Disorder Rehabilitation Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.