| Faith Counseling, Llc | |
|
119 W 4th St Salem MO 65560-1255 | |
| (573) 247-6086 | |
| Not Available |
| Full Name | Faith Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 119 W 4th St, Salem, Missouri |
| Authorized Official Name and Position | Kimberely Ingram (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5732476086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Counseling, Llc 904 County Road 2270 Salem MO 65560-7923 Ph: (573) 247-6086 | Faith Counseling, Llc 119 W 4th St Salem MO 65560-1255 Ph: (573) 247-6086 |
| NPI Number | 1770189581 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Medicare PECOS PAC ID | 1759728249 |
|---|---|
| Medicare Enrollment ID | O20240320000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770189581 | NPI | - | NPPES |
| 495023707 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kimberely L Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790761617 PECOS PAC ID: 2668819152 Enrollment ID: I20240320000162 |
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