OrganizationFoundations Counseling Services, PllcCommunity/Behavioral HealthAgenciesPractice Address183 Wind Chime Ct, Suite 204, Raleigh, NC 27615-6461(919) 900-7140PECOS EnrollmentBased on the most recent information from CMS, provider Foundations Counseling Services, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1043544083Provider TypeOrganizationFull NameFoundations Counseling Services, PllcSubpartNoEnumeration Date9/23/2009Last Updated9/23/2009Contact InformationPractice LocationPractice Address183 Wind Chime Ct, Suite 204, Raleigh, NC 27615-6461Phone(919) 900-7140FaxUnlisted FaxMailing LocationMailing Address183 Wind Chime Ct, Suite 204, Raleigh, NC 27615-6461Phone(919) 900-7140FaxUnlisted FaxAuthorized OfficialNamePotts, La Vera C (Ceo)Phone(919) 900-7140Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicense5073North CarolinaProvider IdentifiersIDDescriptionIssuerID6005812DescriptionMedicaidIssuerUnlistedNorth Carolina