Provider Demographics
NPI:1235377656
Name:FAITHWORKS COUNSELING, LLC
Entity type:Organization
Organization Name:FAITHWORKS COUNSELING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:952-451-3660
Mailing Address - Street 1:110 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-1502
Mailing Address - Country:US
Mailing Address - Phone:952-451-3660
Mailing Address - Fax:
Practice Address - Street 1:110 1ST ST E
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-1502
Practice Address - Country:US
Practice Address - Phone:952-451-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITHWORKS COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty