Faith Springs Eternal (fase), Pllc | |
910 Hope Mills Rd Fayetteville NC 28304-4243 | |
(919) 888-6397 | |
Not Available |
Full Name | Faith Springs Eternal (fase), Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 910 Hope Mills Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Imani Nia Johnson (OWNER) |
Authorized Official Contact | 6786126699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Faith Springs Eternal (fase), Pllc 910 Hope Mills Rd Fayetteville NC 28304-4243 Ph: (919) 888-6397 | Faith Springs Eternal (fase), Pllc 910 Hope Mills Rd Fayetteville NC 28304-4243 Ph: (919) 888-6397 |
NPI Number | 1528696796 |
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Provider Enumeration Date | 04/01/2020 |
Last Update Date | 07/01/2021 |
Certification Date | 07/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528696796 | NPI | - | NPPES |
1073938254 | Medicaid | NC |
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