Provider Demographics
NPI:1548788425
Name:FAITH AND HOPE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:FAITH AND HOPE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-450-1478
Mailing Address - Street 1:112 CATALPA ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7419
Mailing Address - Country:US
Mailing Address - Phone:318-381-8584
Mailing Address - Fax:877-819-9001
Practice Address - Street 1:112 CATALPA ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7419
Practice Address - Country:US
Practice Address - Phone:318-381-8584
Practice Address - Fax:877-819-9001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEAL W.ANGRUM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-31
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)