Provider Demographics
NPI:1417024811
Name:FOUNDATIONS FAMILY COUNSELING, PLLC
Entity Type:Organization
Organization Name:FOUNDATIONS FAMILY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:SUNDQUIST
Authorized Official - Last Name:JOSE
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC RPT-S
Authorized Official - Phone:303-393-0085
Mailing Address - Street 1:789 N SHERMAN ST
Mailing Address - Street 2:440
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3529
Mailing Address - Country:US
Mailing Address - Phone:303-393-0085
Mailing Address - Fax:720-221-9287
Practice Address - Street 1:789 N SHERMAN ST
Practice Address - Street 2:440
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3529
Practice Address - Country:US
Practice Address - Phone:303-393-0085
Practice Address - Fax:720-221-9287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty