Healthcare Provider Details

I. General information

NPI: 1083548911
Provider Name (Legal Business Name): FAITH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 APACHE DR STE C
MCCOMB MS
39648-6301
US

IV. Provider business mailing address

299 APACHE DR STE C
MCCOMB MS
39648-6301
US

V. Phone/Fax

Practice location:
  • Phone: 225-788-1103
  • Fax:
Mailing address:
  • Phone: 225-788-1103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CEARA TAYLOR
Title or Position: CO-OWNER
Credential:
Phone: 601-810-8343