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LIFE FOUNDATIONS WELLNESS AND SUPPORTIVE COUNSELING SERVICES, LLC.
NPI 1396042164
Counselor - Addiction (Substance Use Disorder) in Durham, NC

Active since February 14, 2011
1910 SEDWICK RD BLDG 400, DURHAM, NC 27713(919) 949-8539 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Life Foundations Wellness And Supportive Counseling Services, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE FOUNDATIONS WELLNESS AND SUPPORTIVE COUNSELING SERVICES, LLC. (NPI 1396042164) is a healthcare organization registered as an addiction (substance use disorder) in Durham, North Carolina and active in the NPI registry since February 2011. The organization lists Dietrix Urquhart, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396042164
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLIFE FOUNDATIONS WELLNESS AND SUPPORTIVE COUNSELING SERVICES, LLC.
Location Address1910 SEDWICK RD BLDG 400Durham, NC 27713-7807
Mailing Address1910 Sedwick Rd Bldg 400Durham, NC 27713-7807 · (919) 949-8539 · Fax (919) 949-8539
Phone(919) 949-8539
Organization SubpartNo
Authorized OfficialDietrix UrquhartExecutive Director · (919) 949-8539
Enumeration DateFebruary 14, 2011
Last NPPES UpdateJune 4, 2012
✔ NPI 1396042164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 1622
Also ListedCounselorTaxonomy 101Y00000X · License 1622 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1622 (NC)
1910 SEDWICK RD BLDG 400, Durham, NC 27713
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Other Identifiers 1

Medicaid6008457NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Foundations Wellness And Supportive Counseling Services, LLC.'s NPI number?

The NPI number for Life Foundations Wellness And Supportive Counseling Services, LLC. is 1396042164. It was assigned to this organization in the NPPES registry on February 14, 2011.

Where is Life Foundations Wellness And Supportive Counseling Services, LLC. located?

Life Foundations Wellness And Supportive Counseling Services, LLC. is located at 1910 Sedwick Rd Bldg 400, Durham, NC 27713. The listed phone number is (919) 949-8539.

What is Life Foundations Wellness And Supportive Counseling Services, LLC.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Life Foundations Wellness And Supportive Counseling Services, LLC. was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.