Active NPI
Loving Faith, PLLC
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1851574321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO5741
- Legal business name
- LOVING FAITH, PLLC
- Practice address
- 2932 Breezewood Ave
206
Fayetteville, NC 28303-5505 - Phone
- (910) 366-6314
- Fax
- (910) 482-3877
- NPI assigned
- Dec 7, 2007
- Last updated
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris L Edmonds, LCSW
- Title
- Owner
- Phone
- (910) 366-6314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO5741 | NC | Primary |
Addresses
Primary practice location
2932 Breezewood Ave
206
Fayetteville, NC 28303-5505
Mailing address
2932 Breezewood Ave
206
Fayetteville, NC 28303-5505
Phone (910) 366-6314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106733 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2932 Breezewood Ave
Ste 101
Fayetteville, NC 28303
Phone (910) 223-9200
2932 Breezewood Ave
Ste 206
Fayetteville, NC 28303
Phone (910) 366-6314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1851574321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 BREEZEWOOD AVE",
"address_2": "206",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035505",
"telephone_number": "910-366-6314",
"fax_number": "910-482-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 BREEZEWOOD AVE",
"address_2": "206",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035505",
"telephone_number": "910-366-6314",
"fax_number": "910-482-3877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING FAITH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "EDMONDS",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-366-6314",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO5741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106733",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.