Provider Demographics
NPI:1679323935
Name:RUACH FAITH & COURAGE PLLC
Entity type:Organization
Organization Name:RUACH FAITH & COURAGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS-CORPENING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:704-929-0610
Mailing Address - Street 1:185 WINTERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-2041
Mailing Address - Country:US
Mailing Address - Phone:704-929-0610
Mailing Address - Fax:
Practice Address - Street 1:185 WINTERGREEN CIR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-2041
Practice Address - Country:US
Practice Address - Phone:704-929-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty