Provider Demographics
NPI:1700173739
Name:KEEPING THE FAITH COUNSELING SERVICES
Entity Type:Organization
Organization Name:KEEPING THE FAITH COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAMONT
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:BELLE
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:203-745-7774
Mailing Address - Street 1:91 ORFORD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-1130
Mailing Address - Country:US
Mailing Address - Phone:203-745-7774
Mailing Address - Fax:410-861-6262
Practice Address - Street 1:91 ORFORD RD
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-1130
Practice Address - Country:US
Practice Address - Phone:203-745-7774
Practice Address - Fax:410-861-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT772101YA0400X
CT2112101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty