Provider Demographics
NPI:1841314572
Name:FAITH, TRISTAN (MA IN COUNSELING)
Entity type:Individual
Prefix:MS
First Name:TRISTAN
Middle Name:
Last Name:FAITH
Suffix:
Gender:F
Credentials:MA IN COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 VERDE WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8174
Mailing Address - Country:US
Mailing Address - Phone:407-299-9013
Mailing Address - Fax:
Practice Address - Street 1:2479 ALOMA AVE.
Practice Address - Street 2:KINDER KONSULTING & PARENTS TOO, INC
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792
Practice Address - Country:US
Practice Address - Phone:407-657-6692
Practice Address - Fax:407-894-6010
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0088261101YM0800X
FLMH10201101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional