Provider Demographics
NPI:1659686327
Name:FOUNDATIONS FOR LIFE PRINCIPLES
Entity Type:Organization
Organization Name:FOUNDATIONS FOR LIFE PRINCIPLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-577-4044
Mailing Address - Street 1:501 N CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-5598
Mailing Address - Country:US
Mailing Address - Phone:423-262-0180
Mailing Address - Fax:423-262-0181
Practice Address - Street 1:501 N CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-5598
Practice Address - Country:US
Practice Address - Phone:423-262-0180
Practice Address - Fax:423-262-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty