Faith Therapeutic Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-067-038 Issued in NC

Legal business name

FAITH THERAPEUTIC SERVICES, INC

Practice address

411 Western Blvd Ste 22
Jacksonville, NC 28546-6848

Phone

(910) 389-8830

NPI assigned

Mar 27, 2007

Last updated

Apr 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Helen C Roush, BA QMHP QDDPNPI 1689843351

Title

Director

Phone

(910) 389-8830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helen Roush, BA/QP

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hubert, NC
  • NPI 1689843351
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1609994649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1936",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "910-389-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTERN BLVD STE 22",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466848",
            "telephone_number": "910-389-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH THERAPEUTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-389-8830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA QMHP QDDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-067-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F.a.C.T. Specialized Services, LLC
• Fact Specialized Services, Inc.
• Fact Specialized Services, Inc.
• Jacqueline Fadeyi-Bryant, LCSW
• Fairville Oasis, PLLC
• Faithful Rides
• Joshua Richard Falbo, PT, DPT
• Family Care Clinic, P.a.
• Family Care Pharmacy of Jacksonville
• Family Care Pharmacy of Jacksonville Inc (Family Care Pharmacy of Jacksonville)

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, 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 Apr 14, 2009; 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.