Provider Demographics
NPI:1235645698
Name:FOUNDS, WENDY D
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:D
Last Name:FOUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-2220
Mailing Address - Country:US
Mailing Address - Phone:501-379-4246
Mailing Address - Fax:501-379-4248
Practice Address - Street 1:712 W 3RD ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2220
Practice Address - Country:US
Practice Address - Phone:501-379-4246
Practice Address - Fax:501-379-4248
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health