=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306528252
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAITH THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2023
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 NW 123RD AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33182-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-556-0478
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1187 SE 1 TERR
-----------------------------------------------------
City | FLORIDA CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-556-0478
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANABEL ALONSO
-----------------------------------------------------
Credential | CCC SLP
-----------------------------------------------------
Telephone | 786-556-0478
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------