Provider Demographics
NPI:1306907092
Name:FAITH BASED COUNSELING
Entity type:Organization
Organization Name:FAITH BASED COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-654-8716
Mailing Address - Street 1:123 S BROAD ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130
Mailing Address - Country:US
Mailing Address - Phone:740-654-8716
Mailing Address - Fax:740-653-9252
Practice Address - Street 1:123 S BROAD ST
Practice Address - Street 2:SUITE 234
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-654-8716
Practice Address - Fax:740-653-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty