| Faith And Trust Psychiatric Living | |
|
1964 Gallows Rd Ste 310 Vienna VA 22182-3814 | |
| (571) 762-9099 | |
| Not Available |
| Full Name | Faith And Trust Psychiatric Living |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1964 Gallows Rd Ste 310, Vienna, Virginia |
| Authorized Official Name and Position | Eveline Fohtung (OWNER) |
| Authorized Official Contact | 5717629099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith And Trust Psychiatric Living 1964 Gallows Rd Ste 310 Vienna VA 22182-3814 Ph: (571) 762-9099 | Faith And Trust Psychiatric Living 1964 Gallows Rd Ste 310 Vienna VA 22182-3814 Ph: (571) 762-9099 |
| NPI Number | 1447130679 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 11/02/2025 |
| Certification Date | 11/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447130679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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