| Organization Name: | LINZEY FAISON MENTAL HEALTH ASSOCIATES INC |
| NPI Number: | 1285679340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINZEY R. FAISON (PRESIDENT) |
| Mailing Address: | 501 S Bolivar St Chattahoochee |
| State: | FL US |
| Postal Code: | 323241347 |
| Phone Number: | 8506634347 |
| Fax Number: | 8506634727 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 12/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | FL637562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |