Provider Demographics
NPI:1164383139
Name:VANG, FAITH PAJ
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:PAJ
Last Name:VANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 21ST AVE NE APT V
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1690
Mailing Address - Country:US
Mailing Address - Phone:828-228-2975
Mailing Address - Fax:
Practice Address - Street 1:2700 X RAY DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7490
Practice Address - Country:US
Practice Address - Phone:980-375-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician