Healthcare Provider Details

I. General information

NPI: 1710807037
Provider Name (Legal Business Name): FAITHFUL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4656 KORTE AVE
SAINT LOUIS MO
63115-2530
US

IV. Provider business mailing address

4656 KORTE AVE
SAINT LOUIS MO
63115-2530
US

V. Phone/Fax

Practice location:
  • Phone: 314-893-1092
  • Fax:
Mailing address:
  • Phone: 314-893-1092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LATYSHA NASHA THOMPSON
Title or Position: OWNER
Credential:
Phone: 314-893-1092