Faith & Fly Psychiatric Practice, Llc

LBN: Faith & Fly Psychiatric Practice, Llc
Faith & Fly Psychiatric Practice, Llc is an health care organization with primary practice located at 2424 India Hook Rd , Rock Hill SC 29732-2784. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Faith & Fly Psychiatric Practice, Llc can be contacted via phone (803) 801-0878, or through Goldin, Mary via phone (803) 801-0878.

Contact Information

Primary practice address
2424 India Hook Rd Rock Hill SC 29732-2784
Phone: (803) 801-0878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goldin, Mary
Phone: (803) 801-0878

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1467038828
LBN Legal business name Faith & Fly Psychiatric Practice, Llc
DBA Doing business as
Authorized official Goldin, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2021
Last updated Mar 24th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467038828 NPPES
Other B919 PTAN
MEDICAID GP6088 PTAN

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