Faith in Visions Realized

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11914 Issued in FL

Legal business name

FAITH IN VISIONS REALIZED

Practice address

2833 NW 41St St Ste 100
Gainesville, FL 32606-6986

Phone

(352) 339-5848

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Pagan, LMHC

Title

Mental Health Therapist

Phone

(352) 339-5848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1679019525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST STE 100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-339-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 NW 41ST ST STE 100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066986",
            "telephone_number": "352-339-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH IN VISIONS REALIZED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "352-339-5848",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Geraldine Fahy, MD
• Ebonique Fair
• Katelyn Rose Fairley, PHARMD
• Theresa Renee Faison, PHARMD
• Faith Heals Inc
• Crystal Lee Faix
• Natalie Fala, PSY.D.
• Matheus Falasa, M.D.
• Michael Lawrence Falgiani, MD
• Lindsay Falk

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.