Fundamental Foundations Counseling Center, Pllc

NPI #1417314089 in Frisco, Texas

Provider Information

NPI Number: 1417314089
Entity Type: Organization
Organization Name: Fundamental Foundations Counseling Center, Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 2770 MAIN ST
Address 2: STE. 280
City: Frisco
State: Texas
ZIP Code: 75033-4302
Phone: (214) 475-0345

Authorized Official

Name: SHAHIDRAH COWGILL, LPC-S, NCC
Title: CEO/ CLINICAL DIRECTOR
Phone: (214) 475-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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