Provider Demographics
NPI:1649818485
Name:FAITH IN SOBRIETY LLC
Entity type:Organization
Organization Name:FAITH IN SOBRIETY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:OLANIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:832-986-2732
Mailing Address - Street 1:6201 BONHOMME RD STE 250N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4375
Mailing Address - Country:US
Mailing Address - Phone:877-433-9832
Mailing Address - Fax:
Practice Address - Street 1:6201 BONHOMME RD STE 250N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4375
Practice Address - Country:US
Practice Address - Phone:877-433-9832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty