Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Life Foundations Wellness and Supportive Counseling Services, LLC

Organization Counselor · NPI 1396042164

Life Foundations Wellness and Supportive Counseling Services, LLC is a Counselor in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 Sedwick Rd Bldg 400
Durham, NC 27713-7807
Phone: (919) 949-8539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1622 (NC)
Counselor Taxonomy 101Y00000X · Licence 1622 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1622 (NC)

Record details

NPI number1396042164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dietrix Urquhart — Executive Director · (919) 949-8539
NPI enumeratedFebruary 14, 2011
Last updated in NPPESJune 4, 2012
Mailing address1910 Sedwick Rd Bldg 400, Durham, NC 27713-7807

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