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Faithful Foundations Therapy LLC — NPI 1316838295, Wise, VA | NPI Central

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NPI 1316838295

OrganizationActive

Faithful Foundations Therapy LLC

NPI 1316838295 · Case Management Agency · Wise, VA

Provider details

NPI number: 1316838295
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Organization subpart: No
Authorized official: Rebecca Trout, Clinical Supervisor(724) 420-2794

Specialties & taxonomies

Case Management AgencyPrimary251B00000X
Agencies
Comprehensive Outpatient Rehabilitation Facility (CORF)261QR0401X
Ambulatory Health Care Facilities

Practice location

203 Glade St Se

Wise, VA 24293-5711

Phone: (276) 393-4387

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

203 Glade St Se

Wise, VA 24293-5711

Additional practice locations (1)

147 W Pennsylvania Ave
New Stanton, PA 15672
Phone: (724) 420-2794

Registry dates

Enumerated: 2025-07-10
Last updated: 2025-07-10
Certified: 2025-06-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.