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TABERNACLE OF FAITH BAPTIST
NPI 1114876612
Counselor - Mental Health in Los Angeles, CA

Active since January 27, 2026
11328 S CENTRAL AVE, LOS ANGELES, CA 90059(323) 569-4062 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabernacle Of Faith Baptist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABERNACLE OF FAITH BAPTIST (NPI 1114876612) is a healthcare organization registered as a mental health in Los Angeles, California and active in the NPI registry since January 2026. The organization lists Rickey A Hodges, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114876612
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTABERNACLE OF FAITH BAPTIST
Location Address11328 S CENTRAL AVELos Angeles, CA 90059-1642
Mailing Address11328 S Central AveLos Angeles, CA 90059-1642 · (323) 569-4062
Phone(323) 569-4062
Organization SubpartNo
Authorized OfficialRickey A HodgesCeo · (323) 569-4062
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1114876612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11328 S CENTRAL AVE, Los Angeles, CA 90059
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATTS WORLD REVIVAL
Community/Behavioral Health
11328 S CENTRAL AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 569-4162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabernacle Of Faith Baptist's NPI number?

The NPI number for Tabernacle Of Faith Baptist is 1114876612. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Tabernacle Of Faith Baptist located?

Tabernacle Of Faith Baptist is located at 11328 S Central Ave, Los Angeles, CA 90059. The listed phone number is (323) 569-4062.

What is Tabernacle Of Faith Baptist's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tabernacle Of Faith Baptist was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.