Faithworks

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

867939-4210 Issued in TX

Legal business name

FAITHWORKS

Practice address

1801 N Hampton Rd
Suite 400
Desoto, TX 75115-2391

Phone

(972) 293-2500

Fax

(214) 210-0219

NPI assigned

Sep 2, 2013

Organization subpart

No

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

Authorized official

Name

Kerensa Veronica Taylor, MSW LCPA

Title

Executive Director

Phone

(972) 293-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1265866719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD",
            "address_2": "SUITE 400",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "972-293-2500",
            "fax_number": "214-210-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD",
            "address_2": "SUITE 400",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "972-293-2500",
            "fax_number": "214-210-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KERENSA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-293-2500",
        "authorized_official_credential": "MSW LCPA"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TX",
            "license": "867939-4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Foster Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.