Healthcare Provider Details

I. General information

NPI: 1376998005
Provider Name (Legal Business Name): FAITH SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 DERBYSHIRE RD
DAYTONA BEACH FL
32117-2933
US

IV. Provider business mailing address

950 DERBYSHIRE RD
DAYTONA BEACH FL
32117-2933
US

V. Phone/Fax

Practice location:
  • Phone: 386-258-1258
  • Fax:
Mailing address:
  • Phone: 386-258-1258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: SHARLENE BARHOO
Title or Position: DIRECTOR
Credential: PH.D
Phone: 386-258-1258