Faithful Living Foundation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAITHFUL LIVING FOUNDATION

Practice address

223 North Main Street
Walnut Cove, NC 27952

Phone

(336) 310-6727

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Michele Robin Hairston, LCMHCNPI 1043675671

Title

Director

Phone

(336) 310-6727

Specialties & licenses 3

Addresses

Practitioners 2

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

• Michele Robin Hairston, LCPA

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1043675671
  NPD Authorized official
• Amanda Gail Page Smith, LCSWA

  • Clinical Social Worker
  • Walnut Cove, NC
  • NPI 1972425247
  NPD (past)

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1982428744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11321",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161321",
            "telephone_number": "336-310-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 NORTH MAIN STREET",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "27952",
            "telephone_number": "336-310-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL LIVING FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-310-6727",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foothills Eye Care, O.D., P.a.
• Heather Cashion Frazier, LCMHC; LCASA
• Tykerra Gilliam, LPN
• Gray Skies Wellness, PLLC
• Healthstat Onsite Clinic Parkdale Plant 26

• Mental Health Counselor in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.