Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X |
| NPI Number | 1033639927 |
| LBN Legal business name | DEBORAH FOULKES LLC |
| Authorized official | DEBORAH FOULKES BERT - (FOUNDER & CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/22/2017 |
| Last updated | 07/24/2024 - More than a year ago |
| Identifiers | n/a |
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