Provider Demographics
NPI:1346979432
Name:FAITH, EMILY PAIGE (MA, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:PAIGE
Last Name:FAITH
Suffix:
Gender:F
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 N TYLER ST APT 204
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-3907
Mailing Address - Country:US
Mailing Address - Phone:501-837-5349
Mailing Address - Fax:
Practice Address - Street 1:617 N TYLER ST APT 204
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-3907
Practice Address - Country:US
Practice Address - Phone:501-837-5349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional