FOOTHILLS WELLNESS CENTER (NPI# 1932642105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932642105 |
| Entity Type | Organization |
| Organization Name | FOOTHILLS WELLNESS CENTER |
| Practice Address |
405 Patrick Avenue Stuart VA 24171-0581 |
| Practice Telephone | 2766942246 |
| Practice Fax Number | 2766944044 |
| Mailing Telephone | 2766942246 |
| Mailing Fax Number | 2766944044 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MS. SHANNON MARIE WALKER (OWNER) |
| Authorized Official Telephone | 2766925934 |
| Authorized Official Credential | B.S., QMHP-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
405 PATRICK AVENUE |
| City | STUART |
| State | VA |
| Zip Code | 24171-0581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1700312097 | Breaking Chains | Community/Behavioral Health | 727 Mills School Rd, Stuart, VA 24171-3886 | 2017-05-04 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1700203601 | Riverview Community Mental Health Center LLC | Community/Behavioral Health | 865 Se Monterey Commons Blvd, Stuart, FL 34996-3337 | 2014-03-28 |
| 1972897106 | Krystle Elaine Orr | Community/Behavioral Health | 91 W Hall Rd, Stuart, OK 74570-5192 | 2011-06-06 |
| 1730471756 | Family Preservation Services, Inc. | Community/Behavioral Health | 4559 Wayside Rd, Stuart, VA 24171-2899 | 2011-05-10 |
| 1629217260 | Blue Ridge Counseling Services, LLC | Community/Behavioral Health | 300 Patrick Ave, Stuart, VA 24171-0941 | 2009-02-04 |
| 1811148901 | Family Preservation Services, Inc. | Community/Behavioral Health | 215 Cougar Ln, Stuart, VA 24171-4519 | 2008-10-07 |
| 1720239817 | Family Preservation Services, Inc | Community/Behavioral Health | 314 Staples Ave, Stuart, VA 24171-3583 | 2008-10-07 |
| Find all providers in STUART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.