Healthcare Provider Details

I. General information

NPI: 1750878872
Provider Name (Legal Business Name): FAITH, HOPE & HEALING PROFESSIONAL COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 E MAIN ST. SUITE E
UNIONTOWN PA
15401
US

IV. Provider business mailing address

423 BRADDOCK AVE
UNIONTOWN PA
15401-4807
US

V. Phone/Fax

Practice location:
  • Phone: 724-434-8897
  • Fax:
Mailing address:
  • Phone: 724-438-3857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC008436
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TIFFANY GUYTON
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 724-434-8897