Amy D. Foster
Organization Active NPI Community/Behavioral Health Agency · Clemmons, NC
NPI 1487957783 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1487957783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3555 (NC)
- Legal business name
- AMY D. FOSTER
- Practice address
- 2554 Lewisville Clemmons Rd Ste 303
Clemmons, NC 27012-8749 - Phone
- (336) 223-5060
- Fax
- (855) 726-7734
- NPI assigned
- Dec 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Diachenko Foster, MA, LPA
- Title
- Owner
- Phone
- (336) 223-4606
Practitioners 2
-
Amy Diachenko Foster, M.A.
-
Angela De Varona, PH.D.
National Provider Directory
Locations
2554 Lewisville Clemmons Rd
Ste 303
Clemmons, NC 27012
Phone (336) 429-0254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | 3555 | NC | Yes |
Addresses
Primary practice location
2554 Lewisville Clemmons Rd Ste 303
Clemmons, NC 27012-8749
Mailing address
PO Box 723
Yadkinville, NC 27055-0723
Phone (336) 223-4606
Other names
- Fostering Minds
Other providers in Clemmons, NC
- Cory Wade Akers
- Alder Grove Counseling Collaborative, PLLC
- Yasmine Kahok Alimena
- Allcare by May-Dann LLC
- Amanda Blackwell, PLLC
- Thomas Martin Anderson Jr.
- Andrew W Kelly DDS PLLC
- Nicole Arnn
- Yahav Avraham-Katz
- Mary Axom
All providers in Clemmons, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.