Queens of Faith in Alliance, LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

QUEENS OF FAITH IN ALLIANCE, LLC

Practice address

543 Cox Rd Ste C3
Gastonia, NC 28054-0650

Phone

(910) 736-6816

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Dezzarayi Powell

Title

Member

Phone

(910) 736-6816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1629897798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 COX RD STE C3",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 COX RD STE C3",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540650",
            "telephone_number": "910-736-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS OF FAITH IN ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DEZZARAYI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-736-6816"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.