Provider Demographics
NPI:1508576430
Name:FAUMUI COUNSELING LLC
Entity Type:Organization
Organization Name:FAUMUI COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TEANCUM
Authorized Official - Middle Name:T
Authorized Official - Last Name:FAUMUI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-851-6867
Mailing Address - Street 1:PO BOX 51078
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84605-1078
Mailing Address - Country:US
Mailing Address - Phone:435-851-5296
Mailing Address - Fax:
Practice Address - Street 1:205 W 520 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4696
Practice Address - Country:US
Practice Address - Phone:435-851-5296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty