Faith and Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAITH AND THERAPY, LLC

Practice address

187 Belmont Dr
Dothan, AL 36305-6500

Phone

(334) 671-1280

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Wright, ALCNPI 1811583735

Title

Therapist

Phone

(334) 790-9475

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda C Wright, ALC

  • Counselor
  • Ozark, AL
  • NPI 1811583735
  NPD Authorized official
• Randall G. Jordan, PSYD

  • Clinical Psychologist
  • Dothan, AL
  • NPI 1801887799
  NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1639800477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 COUNTY ROAD 25",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506176",
            "telephone_number": "334-790-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BELMONT DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363056500",
            "telephone_number": "334-671-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "334-790-9475",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811583735",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@faithandtherapy.net",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail address",
            "address_1": "187 Belmont Dr",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363056500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline Ezell, MS, CCC-SLP
• Stephen Blakely Ezzell, CRNA
• Khazraj Abbas Fadhil, M.D.
• Christine Carroll Fain, OTRL
• Fairview Clinic, P.C.
• David Scott Falconer, D.D.S.
• Family Dental Care of Dothan, PC
• Family First Chiropractic, LLC
• Family Practice Clinic of Dothan, P.a.
• Stella Faria, DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dothan, AL
• Providers in Dothan, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.