Faith Tabernacle World Outreach Inc in Fredricktown - Mental Health (including Community Mental Health Center)
Faith Tabernacle World Outreach Inc - NPI 1417070210
Faith Tabernacle World Outreach Inc is a Mental Health (including Community Mental Health Center) in Fredricktown, Missouri. Faith Tabernacle World Outreach Inc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Faith Tabernacle World Outreach Inc is 1417070210. The last update date is 2022-07-06.
Faith Tabernacle World Outreach Inc's current location address is Po Box 25, Fredricktown, Missouri. You can contact this provider via phone number 5737834400 and fax number 5737834409. The mailing address for Faith Tabernacle World Outreach Inc is Po Box 25, Fredricktown, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Faith Tabernacle World Outreach Inc |
|---|---|
| Address | Po Box 25, Fredricktown, Missouri |
| Phone Number | 5737834400 |
| Fax Number | 5737834409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Booth Joy Deborah |
| Credentials | LPC |
| Telephone Number | 5737834400 |
NPI Number Detail
| NPI Number | 1417070210 |
|---|---|
| Provider Enumeration Date | 2007-04-08 |
| Last Updated Date | 2022-07-06 |
Provider Mailing Address Detail
| Address | Po Box 25 |
|---|---|
| City | Fredricktown |
| State | Missouri (MO) |
| Post Code | 63645 |
| Phone Number | 5737834400 |
| Fax Number | 5737834409 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490026705 | MO | -- | |
| 495888919 | MO | -- | |
| 495933814 | MO | -- | |
| 495968604 | MO | -- |
Post Comment/ Review Below
What is the Faith Tabernacle World Outreach Inc's 1417070210?
The Faith Tabernacle World Outreach Inc's NPI (National Provider Identifier) Number is 1417070210. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Faith Tabernacle World Outreach Inc's physical address?
The Faith Tabernacle World Outreach Inc is physically located at Po Box 25, in the city of Fredricktown, MO, with the postal code 63645.
What is Faith Tabernacle World Outreach Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Faith Tabernacle World Outreach Inc is Mental Health (including Community Mental Health Center), and the taxonomy classification code that categorizes this area of expertise is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417070210 to Faith Tabernacle World Outreach Inc?
The Centers for Medicare & Medicaid Services assigned the 1417070210 to Faith Tabernacle World Outreach Inc on 2007-04-08.
As of what date were the details related to Faith Tabernacle World Outreach Inc most recently updated or revised?
The information pertaining to Faith Tabernacle World Outreach Inc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-06.
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