Healthcare Provider Details

I. General information

NPI: 1669368056
Provider Name (Legal Business Name): FAITHFUL HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 FLANDERS AVE
BROOKVILLE OH
45309-1387
US

IV. Provider business mailing address

709 FLANDERS AVE
BROOKVILLE OH
45309-1387
US

V. Phone/Fax

Practice location:
  • Phone: 937-581-5958
  • Fax:
Mailing address:
  • Phone: 937-581-5958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NONINA JEAN HINDSMAN
Title or Position: OWNER/ OPERATOR
Credential:
Phone: 937-581-5958