Provider Demographics
NPI:1821689266
Name:FAITH OVER FEAR COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:FAITH OVER FEAR COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:O
Authorized Official - Last Name:SHIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-610-0740
Mailing Address - Street 1:GOP-111
Mailing Address - Street 2:2285 BENTON RD SUITE 101
Mailing Address - City:BOSSIER
Mailing Address - State:LA
Mailing Address - Zip Code:71111
Mailing Address - Country:US
Mailing Address - Phone:318-610-0740
Mailing Address - Fax:
Practice Address - Street 1:GOP-111, 2285 BENTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BOSSIER
Practice Address - State:LA
Practice Address - Zip Code:71111-7111
Practice Address - Country:US
Practice Address - Phone:318-610-0740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty