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General NPI Number Information
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NPI Number | 1669351532
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Entity Type | Organization
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Legal Business Name | FAITH THERAPY PRACTICE
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 520 DEPOT ST
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City | VICKSBURG
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State | MS
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Zip | 39180-3504
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Country | US
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Telephone | 601-210-7988
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 WARRIORS TRL
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City | VICKSBURG
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State | MS
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Zip | 39180-1014
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Country | US
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Telephone | 601-831-4336
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS MURRELL
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Credential |
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Telephone | 601-831-4336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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