Provider Demographics
NPI:1649760489
Name:FOSTER, MHAIRI (LMHC)
Entity Type:Individual
Prefix:
First Name:MHAIRI
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4711
Mailing Address - Country:US
Mailing Address - Phone:321-258-9537
Mailing Address - Fax:321-541-9135
Practice Address - Street 1:1825 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4711
Practice Address - Country:US
Practice Address - Phone:321-258-9537
Practice Address - Fax:321-541-9135
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22974101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health