FAITH SPRINGS ETERNAL (FASE) PLLC NPI 1528696796

NPI Information

FAITH SPRINGS ETERNAL (FASE), PLLC is a mental health (including community mental health center) clinic center in Fayetteville, NC. FAITH SPRINGS ETERNAL (FASE), PLLC NPI is 1528696796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 HOPE MILLS RD
FAYETTEVILLE, NC
ZIP 28304-243
Phone: (919) 888-6397

The provider's authorized official is Imani Nia Johnson .
The authorized official title is Owner and has the following contact phone number (678) 612-6699.

The enumeration date for this NPI number is 4/1/2020 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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