| Faith, Prosperity, & Change Pllc | |
|
1631 Midtown Pl Ste 104 Raleigh NC 27609-1300 | |
| (919) 307-5161 | |
| Not Available |
| Full Name | Faith, Prosperity, & Change Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1631 Midtown Pl Ste 104, Raleigh, North Carolina |
| Authorized Official Name and Position | Rasheeka Fogg (OWNER/THERAPIST) |
| Authorized Official Contact | 9193075161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith, Prosperity, & Change Pllc 1631 Midtown Pl Ste 104 Raleigh NC 27609-1300 Ph: () - | Faith, Prosperity, & Change Pllc 1631 Midtown Pl Ste 104 Raleigh NC 27609-1300 Ph: (919) 307-5161 |
| NPI Number | 1013535749 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013535749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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