Provider Demographics
NPI:1659927457
Name:THE FOUNDATION BUILDERS
Entity Type:Organization
Organization Name:THE FOUNDATION BUILDERS
Other - Org Name:TACKLE UR DREAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:832-953-5482
Mailing Address - Street 1:7676 HILLMONT ST STE 310G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6483
Mailing Address - Country:US
Mailing Address - Phone:832-953-5482
Mailing Address - Fax:
Practice Address - Street 1:7676 HILLMONT ST STE 310G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6483
Practice Address - Country:US
Practice Address - Phone:832-953-5482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX79028OtherLPC