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Fostering Change Counseling Services LLC

Social Worker, Clinical in Augusta, GA. Organization (NPI-2).

NPI number1669918231
StatusActive
Last updated in NPPESJan 18, 2024

Details

NPI
1669918231
Entity type
Organization (NPI-2)
Legal business name
Fostering Change Counseling Services LLC
Organization subpart
No
Enumeration date
Jan 6, 2017
Certification date
Jan 18, 2024
Last updated
Jan 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

2826 Hillcreek Dr
Augusta, GA 30909-5628

Phone 706-447-9722

Mailing address

3031 Brockham Ct
Augusta, GA 30909-0629

Phone 706-945-9731

Authorized official

Carlos Justavis Foster
Ceo
7064479722

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