MEDICARE: FAITHS COUNSELING CENTER OF HOPE & HEALING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1790468924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHS COUNSELING CENTER OF HOPE & HEALING LLC

Provider Business Mailing Address
First Line	:	3476 SMYRNA RD
Second Line	:
City	:	FELICITY
State	:	OH
Zip	:	45120-9753
Country	:	US
Telephone Number	:	937-618-2819
Fax Number	:

Provider Business Practice Location Address
First Line	:	3476 SMYRNA RD
Second Line	:
City	:	FELICITY
State	:	OH
Zip	:	45120-9753
Country	:	US
Telephone Number	:	937-618-2819
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARMELA BYUS
Credential	:	LPCC, LICDC
Telephone Number	:	937-618-2819

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	03/27/2025

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