Provider Demographics
NPI:1992035489
Name:STRONG FOUNDATIONS, LLC
Entity Type:Organization
Organization Name:STRONG FOUNDATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIENNE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:BOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-302-1471
Mailing Address - Street 1:1702 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8654
Mailing Address - Country:US
Mailing Address - Phone:970-302-1471
Mailing Address - Fax:970-339-9036
Practice Address - Street 1:1702 68TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8654
Practice Address - Country:US
Practice Address - Phone:970-302-1471
Practice Address - Fax:970-339-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9929961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty