Provider Demographics
NPI:1376132860
Name:FACE THE FIGHT WITH FAITH
Entity Type:Organization
Organization Name:FACE THE FIGHT WITH FAITH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOE
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYTON-FEARON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-690-0260
Mailing Address - Street 1:83 WOOSTER HEIGHTS RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7005
Mailing Address - Country:US
Mailing Address - Phone:203-690-0260
Mailing Address - Fax:888-297-4639
Practice Address - Street 1:83 WOOSTER HEIGHTS RD
Practice Address - Street 2:SUITE 125
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7005
Practice Address - Country:US
Practice Address - Phone:203-690-0260
Practice Address - Fax:888-297-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)