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 provides Counselor services 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 Not confirmed with CMS for 14 years — call before visiting
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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