Healthcare Provider Details

I. General information

NPI: 1588577977
Provider Name (Legal Business Name): FAITHFUL FOUNDATION THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21097 W MINNEZONA AVE
BUCKEYE AZ
85396-1128
US

IV. Provider business mailing address

21097 W MINNEZONA AVE
BUCKEYE AZ
85396-1128
US

V. Phone/Fax

Practice location:
  • Phone: 480-442-5171
  • Fax:
Mailing address:
  • Phone: 480-442-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER JENINE RAMOS
Title or Position: OWNER
Credential: LCSW
Phone: 917-681-0524