Inner Faith Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER FAITH COUNSELING CENTER, LLC

Practice address

G3163 Flushing Rd Ste 214
Flint, MI 48504-4365

Phone

(810) 845-6465

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By 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

Valerie F Jackson, LMSWNPI 1356471908

Title

Proprietor/Psychotherapist

Phone

(810) 845-6465

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Valerie F Jackson, LMSW, ACSW

  • Social Worker
  • Flint, MI
  • NPI 1356471908
  NPD Authorized official
• Tihesa Mack, LMSW,ACSW

  • Social Worker
  • Flint, MI
  • NPI 1174932255
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1659932481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 BRIGHT CREEK CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322254",
            "telephone_number": "810-845-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3163 FLUSHING RD STE 214",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044365",
            "telephone_number": "810-845-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER FAITH COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROPRIETOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "810-845-6465",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kay Ingram, ACSW LMSW
• Keriyana Ingram
• Suzanne Lenore Ingram
• Tarena Ingram
• Injury Care Coordination LLC
• Inner Peace Direct Care Services LLC
• Susumu Inoue, M.D.
• Insight (Recovery Housing)
• Insight Anesthesia PLLC
• Insight at Westside

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.