Provider Demographics
NPI:1205371044
Name:LOUISA W. FOSTER, PSYD, PC
Entity Type:Organization
Organization Name:LOUISA W. FOSTER, PSYD, PC
Other - Org Name:THE CENTER FOR MINDFUL LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, RDT
Authorized Official - Phone:402-933-4070
Mailing Address - Street 1:5010 CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2926
Mailing Address - Country:US
Mailing Address - Phone:402-933-4070
Mailing Address - Fax:402-939-8989
Practice Address - Street 1:4915 UNDERWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-4211
Practice Address - Country:US
Practice Address - Phone:402-933-4070
Practice Address - Fax:402-939-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE572103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty