| Faithful Therapy Tx Corporation | |
|
112 Abelia Dr Fate TX 75189-4307 | |
| (214) 280-6694 | |
| Not Available |
| Full Name | Faithful Therapy Tx Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 112 Abelia Dr, Fate, Texas |
| Authorized Official Name and Position | Tiffany Helmuth (CEO) |
| Authorized Official Contact | 2142806694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithful Therapy Tx Corporation 112 Abelia Dr Fate TX 75189-4307 Ph: (214) 280-6694 | Faithful Therapy Tx Corporation 112 Abelia Dr Fate TX 75189-4307 Ph: (214) 280-6694 |
| NPI Number | 1811706716 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/05/2025 |
| Medicare PECOS PAC ID | 0446778328 |
|---|---|
| Medicare Enrollment ID | O20250514002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811706716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Maria Lizardo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669966842 PECOS PAC ID: 3274571682 Enrollment ID: I20180705002472 |
| Provider Name | Michael David Farjellah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447400478 PECOS PAC ID: 9436686821 Enrollment ID: I20241224001640 |
| Provider Name | Mildred Janet Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669960233 PECOS PAC ID: 7416466974 Enrollment ID: I20250604004351 |
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