Friends of Faith LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FRIENDS OF FAITH LLC

Practice address

1112 6TH St
Portsmouth, VA 23704-6734

Phone

(757) 358-2769

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Shayla Dixon

Title

Ceo

Phone

(757) 401-7047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1356076863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046734",
            "telephone_number": "757-401-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046734",
            "telephone_number": "757-358-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF FAITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-401-7047"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lucille Freeman, DO
• Kim Diggs Freeman, RPH
• Joseph Freundlich, PSYD
• Friendly Faces Pediactric Dentistry
• Friendly Faces Pediatric Dentistry
• Candice Nickens Frye, PHARMD
• Marcia Lynne Frye, MD
• Daniel Jacob Fuhrmann, DMD
• Daniel Boston Fuller
• Kayla Fuller, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.