| Face The Fight With Faith | |
|
83 Wooster Heights Rd Suite 125 Danbury CT 06810-7005 | |
| (203) 690-0260 | |
| (888) 297-4639 |
| Full Name | Face The Fight With Faith |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Wooster Heights Rd, Danbury, Connecticut |
| Authorized Official Name and Position | Keisha Clayton-fearon (OWNER/DIRECTOE) |
| Authorized Official Contact | 2036900260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Face The Fight With Faith 83 Wooster Heights Rd Suite 125 Danbury CT 06810-7005 Ph: (203) 690-0260 | Face The Fight With Faith 83 Wooster Heights Rd Suite 125 Danbury CT 06810-7005 Ph: (203) 690-0260 |
| NPI Number | 1376132860 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Medicare PECOS PAC ID | 8022422476 |
|---|---|
| Medicare Enrollment ID | O20210127000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376132860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Keisha Clayton-fearon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891240776 PECOS PAC ID: 7517205446 Enrollment ID: I20190219000396 |
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