Organization Active NPI

Faith and Transformation Center LLC

Doing business as Faith and Transformation Therapy

  • Mental Health Counselor
  • Pace, FL
National Provider Identifier
1912794314
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAITH AND TRANSFORMATION CENTER LLC
Doing business as
Faith and Transformation Therapy
Practice address
4519 Woodbine Rd
Pace, FL 32571-8706
Phone
(850) 979-4432
Fax
(850) 366-1070
NPI assigned
Apr 21, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Larissa HemleyNPI 1790551828
Title
Owner
Phone
(850) 449-9340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4519 Woodbine Rd
Pace, FL 32571-8706

Mailing address

8264 Highway 89
Milton, FL 32570-9048
Phone (850) 449-9340

Other names 1

  • Faith and Transformation Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

9999 Chemstrand Rd
Pensacola, FL 32514
Phone (850) 341-3430

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1912794314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8264 HIGHWAY 89",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325709048",
            "telephone_number": "850-449-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718706",
            "telephone_number": "850-979-4432",
            "fax_number": "850-366-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AND TRANSFORMATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "HEMLEY",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-449-9340"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith and Transformation Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith and Transformation Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.