Provider Demographics
NPI:1497032759
Name:FAITH IN ACTION COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:FAITH IN ACTION COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:DORIS
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-593-0348
Mailing Address - Street 1:2921 MARTI LN STE 6E
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-3115
Mailing Address - Country:US
Mailing Address - Phone:334-593-0348
Mailing Address - Fax:
Practice Address - Street 1:2921 MARTI LN STE 6E
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-3115
Practice Address - Country:US
Practice Address - Phone:334-593-0348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable