=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962368993
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GUIDED BY FAITH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2026
-----------------------------------------------------
Last Update Date | 01/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 418 SPRUCE ST
-----------------------------------------------------
City | WOODLAND
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27897-9545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-287-0482
-----------------------------------------------------
Fax | 252-287-0482
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 418 SPRUCE ST
-----------------------------------------------------
City | WOODLAND
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27897-9545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-287-0482
-----------------------------------------------------
Fax | 252-287-0482
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ OPERATOR
-----------------------------------------------------
Name | LAQUITA TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-287-0482
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------