Provider Demographics
NPI:1417845033
Name:FOUNDATIONS COUNSELING
Entity type:Organization
Organization Name:FOUNDATIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MLADC, LCS
Authorized Official - Phone:603-260-0646
Mailing Address - Street 1:373 S WILLOW ST # 125
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-5751
Mailing Address - Country:US
Mailing Address - Phone:603-391-5307
Mailing Address - Fax:
Practice Address - Street 1:21 WOOD HAWK WAY
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03052-2446
Practice Address - Country:US
Practice Address - Phone:603-260-0646
Practice Address - Fax:603-218-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)