Foundations for Life Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FOUNDATIONS FOR LIFE SERVICES LLC

Doing business as

Foundations For Life Services

Practice address

1102 Farmer St
Petersburg, VA 23803-3935

Phone

(804) 901-3978

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayle Candise Nicholas

Title

Chief Executive Officer

Phone

(804) 901-3978

Specialties & licenses 1

Addresses

Other names 1

• Foundations For Life Services Doing business as

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1336052901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12437 CHESDIN LANDING DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383229",
            "telephone_number": "804-901-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 FARMER ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033935",
            "telephone_number": "804-901-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "CANDISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-901-3978"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations For Life Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Latoya Forbes
• Nekia Ford-Battle, LPN
• Rhonda Ford, DO
• Robert Joaquin Foster, OD
• Foundations Family Services LLC
• Stephanie Gill Frankenstein, PHARM.D.
• Kendria Sherrill Frasier, CRNA
• Macy E Freeman
• Tiffany Freer
• Sarah Elizabeth French, PT, DPT

• Substance Abuse Rehabilitation Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.