| Faithful Paths | |
|
10920 S 55th Ln Laveen AZ 85339-5292 | |
| (480) 779-8939 | |
| Not Available |
| Full Name | Faithful Paths |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10920 S 55th Ln, Laveen, Arizona |
| Authorized Official Name and Position | Jessica Harris (PRESIDENT) |
| Authorized Official Contact | 4808459966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithful Paths 10920 S 55th Ln Laveen AZ 85339-5292 Ph: (480) 779-8939 | Faithful Paths 10920 S 55th Ln Laveen AZ 85339-5292 Ph: (480) 779-8939 |
| NPI Number | 1619662772 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619662772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
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