F.a.I.T.H Behavioral Support

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

F.A.I.T.H BEHAVIORAL SUPPORT

Practice address

301 Washington St W Ste 202
Charleston, WV 25302-2230

Phone

(304) 951-7736

NPI assigned

May 15, 2024

Organization subpart

Yes

Parent organization

MY SEPTEMBER LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvonne Sherii Lee, PHD, LGSWNPI 1689234858

Title

Ceo/Case Manager

Phone

(304) 343-0044

Specialties & licenses 4

Addresses

Part of

My September LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Sherii Lee

  • Case Manager/Care Coordinator
  • Charleston, WV
  • NPI 1689234858
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1003665704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250647105",
            "telephone_number": "304-550-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON ST W STE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022230",
            "telephone_number": "304-951-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.A.I.T.H BEHAVIORAL SUPPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY SEPTEMBER LLC",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "SHERII",
        "authorized_official_title_or_position": "CEO/CASE MANAGER",
        "authorized_official_telephone_number": "304-343-0044",
        "authorized_official_credential": "PHD, LGSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.