Provider Demographics
NPI:1013620004
Name:FAITH IN YOU LLC
Entity Type:Organization
Organization Name:FAITH IN YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:III
Authorized Official - Credentials:NONE
Authorized Official - Phone:804-543-5903
Mailing Address - Street 1:521 S GOOD LATIMER EXPY APT 7121
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-8414
Mailing Address - Country:US
Mailing Address - Phone:804-543-5903
Mailing Address - Fax:
Practice Address - Street 1:521 S GOOD LATIMER EXPY APT 7121
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-8414
Practice Address - Country:US
Practice Address - Phone:804-543-5903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health