Active NPI
Fostering Resilience LLC
- Counselor
- Magnolia, AR
National Provider Identifier
1417539412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- FOSTERING RESILIENCE LLC
- Practice address
- 1826 Highway 79 S # THS
Magnolia, AR 71753-9198 - Phone
- (870) 299-3683
- NPI assigned
- Apr 28, 2021
- Last updated
- Apr 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katina Renee Levingston
- Title
- Manager
- Phone
- (903) 293-7093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1826 Highway 79 S # THS
Magnolia, AR 71753-9198
Mailing address
4114 McKnight Rd
Texarkana, TX 75503-1086
Phone (903) 293-7093
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1417539412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031086",
"telephone_number": "903-293-7093",
"fax_number": "903-792-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 HIGHWAY 79 S # THS",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717539198",
"telephone_number": "870-299-3683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTERING RESILIENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "LEVINGSTON",
"authorized_official_first_name": "KATINA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "903-293-7093"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.