FAITH COMMUNITY DISEASE PREVENTION AND HEALTH PROMOTION FOUNDATION NPI 1144816083

NPI Information

NPI: 1144816083
Provider Name: FAITH COMMUNITY DISEASE PREVENTION AND HEALTH PROMOTION FOUNDATION
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
319 NECHES STREET
JACKSONVILLE, TX
ZIP 75766
Phone: (430) 244-9250
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FAITH COMMUNITY DISEASE PREVENTION AND HEALTH PROMOTION FOUNDATION is a psychiatric/mental health nurse practitioner in Jacksonville, TX. FAITH COMMUNITY DISEASE PREVENTION AND HEALTH PROMOTION FOUNDATION NPI is 1144816083. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

319 NECHES STREET
JACKSONVILLE, TX
ZIP 75766-931
Phone: (430) 244-9250

The provider's authorized official is Cheryl Yvette Lewis-battles .
The authorized official title is Ceo and has the following contact phone number (903) 284-0056.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP1600X	Counselor	Pastoral	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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