Provider Demographics
NPI:1679357321
Name:FAITH IN FAMILY THERAPY
Entity type:Organization
Organization Name:FAITH IN FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DACIA
Authorized Official - Middle Name:SHRON
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:252-665-2172
Mailing Address - Street 1:790 CARDINAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5202
Mailing Address - Country:US
Mailing Address - Phone:252-497-8131
Mailing Address - Fax:252-417-7979
Practice Address - Street 1:790 CARDINAL RD STE 3
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5202
Practice Address - Country:US
Practice Address - Phone:252-623-3199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty