Healthcare Provider Details

I. General information

NPI: 1508720830
Provider Name (Legal Business Name): FAITHFUL STEPS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 MAIN ST STE A-379
STONE MOUNTAIN GA
30083-3060
US

IV. Provider business mailing address

PO BOX 161255
ATLANTA GA
30321-1255
US

V. Phone/Fax

Practice location:
  • Phone: 404-766-6017
  • Fax:
Mailing address:
  • Phone: 404-766-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BERNATTA J YOUNG
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 404-766-6017