Provider Demographics
NPI:1699405407
Name:FOUND THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:FOUND THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-919-5350
Mailing Address - Street 1:3965 BETHEL RD SE STE 1
Mailing Address - Street 2:#120
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-1976
Mailing Address - Country:US
Mailing Address - Phone:360-919-5350
Mailing Address - Fax:
Practice Address - Street 1:1616 SE ELLIS CT STE 272
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98367-8765
Practice Address - Country:US
Practice Address - Phone:360-919-5350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)