Provider Demographics
NPI:1568906998
Name:FAITH COUNSELING
Entity Type:Organization
Organization Name:FAITH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-718-7970
Mailing Address - Street 1:908 SEARS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-4016
Mailing Address - Country:US
Mailing Address - Phone:912-384-1085
Mailing Address - Fax:
Practice Address - Street 1:908 SEARS ST
Practice Address - Street 2:SUITE B
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-4016
Practice Address - Country:US
Practice Address - Phone:912-384-1085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHURCH OF GOD BY FAITH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-03
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty