Organization Name: | FAITH COUNSELING CENTER, INC. |
NPI Number: | 1093941098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REVELLA H NESBIT (EXECUTIVE DIRECTOR) |
Mailing Address: | 19900 S Main St Ste 5 Cornelius |
State: | NC US |
Postal Code: | 280316513 |
Phone Number: | 7046516583 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |