Provider Demographics
NPI:1770184244
Name:WORKS OF FAITH WELLNESS AND CONSULTATION, LLC
Entity Type:Organization
Organization Name:WORKS OF FAITH WELLNESS AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIENNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALFRED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-656-7983
Mailing Address - Street 1:1255 N HAMILTON RD # 83
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6785
Mailing Address - Country:US
Mailing Address - Phone:614-656-7983
Mailing Address - Fax:
Practice Address - Street 1:867 MOSAIC CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3835
Practice Address - Country:US
Practice Address - Phone:614-656-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty