Faith & Love Connection Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAITH & LOVE CONNECTION CENTER

Practice address

140 S. Scales Street
Suite 201
Reidsville, NC 27320-2732

Phone

(336) 791-9014

NPI assigned

Jul 21, 2017

Organization subpart

No

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

Authorized official

Name

Wanda Fowler

Title

Executive Director

Phone

(336) 791-9014

Specialties & licenses 1

Addresses

Other names 1

• Faith & Love Connection Center Other name

Locations

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1578086542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2574",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "27323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S. SCALES STREET",
            "address_2": "SUITE 201",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202732",
            "telephone_number": "336-791-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & LOVE CONNECTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-791-9014"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith & Love Connection Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.