Provider Demographics
NPI:1437011574
Name:FAITHFUL STEWARDS COUNSELING LLC
Entity type:Organization
Organization Name:FAITHFUL STEWARDS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:STOCKDALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-783-3437
Mailing Address - Street 1:231 COOSAWATTEE AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-3508
Mailing Address - Country:US
Mailing Address - Phone:762-499-7674
Mailing Address - Fax:706-509-2902
Practice Address - Street 1:231 COOSAWATTEE AVE SW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-3508
Practice Address - Country:US
Practice Address - Phone:762-499-7674
Practice Address - Fax:706-509-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003335255AMedicaid