Provider Demographics
NPI:1760148944
Name:SOLID FOUNDATIONS SUPPORT SERVICES, PLC
Entity Type:Organization
Organization Name:SOLID FOUNDATIONS SUPPORT SERVICES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASTER'S SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:802-236-4882
Mailing Address - Street 1:177 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:VT
Mailing Address - Zip Code:05060-8886
Mailing Address - Country:US
Mailing Address - Phone:802-236-4882
Mailing Address - Fax:
Practice Address - Street 1:177 MURPHY RD
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:VT
Practice Address - Zip Code:05060-8886
Practice Address - Country:US
Practice Address - Phone:802-236-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty