| Faith To Fate Community Ministries | |
|
720 Moorefield Park Dr Ste 100 North Chesterfield VA 23236-3657 | |
| (804) 418-0876 | |
| Not Available |
| Full Name | Faith To Fate Community Ministries |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 720 Moorefield Park Dr Ste 100, North Chesterfield, Virginia |
| Authorized Official Name and Position | Ivan Tolbert (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8044180876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith To Fate Community Ministries Po Box 3586 North Chesterfield VA 23235-7586 Ph: (804) 418-0876 | Faith To Fate Community Ministries 720 Moorefield Park Dr Ste 100 North Chesterfield VA 23236-3657 Ph: (804) 418-0876 |
| NPI Number | 1417725680 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417725680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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