Provider Demographics
NPI:1598640633
Name:FOOTHILLS COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:FOOTHILLS COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:WISE
Authorized Official - Last Name:CHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS,LCSWA
Authorized Official - Phone:828-850-7170
Mailing Address - Street 1:9681 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7146
Mailing Address - Country:US
Mailing Address - Phone:828-850-7170
Mailing Address - Fax:
Practice Address - Street 1:2512 NORWOOD ST SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645
Practice Address - Country:US
Practice Address - Phone:828-830-1019
Practice Address - Fax:828-929-8613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1417783960Medicaid