| Faithgracejoy, Pllc | |
|
112 W Central Ave Comanche TX 76442-3215 | |
| (817) 821-9882 | |
| Not Available |
| Full Name | Faithgracejoy, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 112 W Central Ave, Comanche, Texas |
| Authorized Official Name and Position | Lisa Marie Davis (DIRECT OWNER) |
| Authorized Official Contact | 8178219882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithgracejoy, Pllc 112 W Central Ave Comanche TX 76442-3215 Ph: (817) 821-9882 | Faithgracejoy, Pllc 112 W Central Ave Comanche TX 76442-3215 Ph: (817) 821-9882 |
| NPI Number | 1710770128 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710770128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cynthia Newton, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S. Page St., Suite B, Comanche, TX 76442 Phone: 325-356-1105 Fax: 325-356-1106 |