Provider Demographics
NPI:1700779303
Name:FTS PRIVATE PRACTICES
Entity type:Organization
Organization Name:FTS PRIVATE PRACTICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-782-2181
Mailing Address - Street 1:739 THIMBLE SHOALS BLVD STE 1003
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3585
Mailing Address - Country:US
Mailing Address - Phone:757-782-2181
Mailing Address - Fax:757-299-8317
Practice Address - Street 1:701 HOWMET DR STE A
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1001
Practice Address - Country:US
Practice Address - Phone:757-812-7420
Practice Address - Fax:757-765-6109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUNDATIONS TO SUCCESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty