Healthcare Provider Details

I. General information

NPI: 1730043472
Provider Name (Legal Business Name): FAITH IN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 DIXIE HWY
LOUISVILLE KY
40216-5016
US

IV. Provider business mailing address

3410 DIXIE HWY
LOUISVILLE KY
40216-5016
US

V. Phone/Fax

Practice location:
  • Phone: 502-208-6784
  • Fax:
Mailing address:
  • Phone: 502-208-6784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE MARSHALL
Title or Position: OWNER
Credential: LCADC
Phone: 502-208-6784