Healthcare Provider Details

I. General information

NPI: 1437073301
Provider Name (Legal Business Name): FAITHFUL GROUND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W KAPP ST
DOBSON NC
27017-8825
US

IV. Provider business mailing address

925 OLD US 52 S
MOUNT AIRY NC
27030-6161
US

V. Phone/Fax

Practice location:
  • Phone: 336-756-0581
  • Fax:
Mailing address:
  • Phone: 336-756-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELODY SLAWTER
Title or Position: OWNER
Credential: LCMHC
Phone: 336-756-0581