Foundation Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FOUNDATION RECOVERY CENTER

Practice address

2419 Southern Ave
Shreveport, LA 71104-2969

Phone

(318) 227-1475

Fax

(318) 227-1472

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tara T Dupree

Title

Office Manager

Phone

(318) 716-9085

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Leigh Brown, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1689331142
  NPD
• James Carinio Jr., CIT

  • Addiction (Substance Use Disorder) Counselor
  • Shreveport, LA
  • NPI 1780304832
  NPD

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1649944117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 SOUTHERN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042969",
            "telephone_number": "318-227-1475",
            "fax_number": "318-227-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 SOUTHERN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042969",
            "telephone_number": "318-227-1475",
            "fax_number": "318-227-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-716-9085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louquintis Donnelle Aunte Foster
• Rebecca Foster, M.D.
• Shannon Foster
• Sierra Foster
• Foundation Counseling, Coaching & Consultations
• Four Crowns Staffing Solutions
• Torrey L. Fourrier, M.D.
• Darrell L Fouts, CRNA
• Ginny Lee Fouts, LPC, LMFT
• Marjorie Rees Fowler, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.