Foundation for Families, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

COO6439 Issued in NC

Legal business name

FOUNDATION FOR FAMILIES, LLC

Practice address

30 Three Hunts Dr
Suite B
Pembroke, NC 28372-7316

Phone

(910) 521-0077

Fax

(910) 521-4877

NPI assigned

Sep 12, 2011

Organization subpart

No

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

Authorized official

Name

Dawn Melissa Douglas, LCSW

Title

Ceo

Phone

(910) 521-0077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1962784397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4108",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283724108",
            "telephone_number": "910-521-0077",
            "fax_number": "910-521-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THREE HUNTS DR",
            "address_2": "SUITE B",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727316",
            "telephone_number": "910-521-0077",
            "fax_number": "910-521-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR FAMILIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-521-0077",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "COO6439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Vamc
• Crystal L Fedor, M.ED., CCC-SLP
• Alaiya Delane Feliciano
• Firsthealth of the Carolinas, Inc.
• Joy Tabbria Fisher
• Desiree Lynn Franklin, PHARMD.
• Triva Posey Fridley, NP
• Geena Gary
• Gate Way
• Nancy Gomez, OTA

• Community/Behavioral Health Agency in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.