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FAITH SPRINGS ETERNAL (FASE), PLLC
NPI 1528696796
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fayetteville, NC

Active since April 01, 2020
910 HOPE MILLS RD, FAYETTEVILLE, NC 28304(919) 888-6397 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Apr 1, 2020 (2 updates tracked since 2020).

About Faith Springs Eternal (fase), Pllc NPPES

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

FAITH SPRINGS ETERNAL (FASE), PLLC (NPI 1528696796) is a healthcare organization registered as a mental health (including community mental health center) in Fayetteville, North Carolina and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Fayetteville and lists Imani Nia Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1528696796
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFAITH SPRINGS ETERNAL (FASE), PLLC
Location Address910 HOPE MILLS RDFayetteville, NC 28304-4243
Mailing Address910 Hope Mills RdFayetteville, NC 28304-4243 · (919) 888-6397
Phone(919) 888-6397
Organization SubpartNo
Authorized OfficialImani Nia JohnsonOwner · (678) 612-6699
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1528696796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
910 HOPE MILLS RD, Fayetteville, NC 28304
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Secondary Practice Location 1

Location 12537 Gray Goose LoopFayetteville, NC 28306-3550 · Phone (678) 612-6699

Other Identifiers 1

Medicaid1073938254NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

BRIDGE TO CARE HOME CARE LLC
Home Health
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 709-0167
LOVE-TO-LOVE HOME CARE LLC
In Home Supportive Care
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 224-3943
DENOTRA JOHNSON WINSTON LCMHC, LCASA
Counselor (Professional)
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 827-6611
ELVIRA YANEZ LCSW
Social Worker
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 684-3595
GREGORY KILPATRICK II
Home Health Aide
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 600-8209
SYLVESTER CANCER LPC
Counselor (Professional)
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 818-3315
WOFFORD AND WILLIAMS INC
In Home Supportive Care
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 568-5319
SILVERS HOME CARE LLC
In Home Supportive Care
910 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 364-2603

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 Faith Springs Eternal (fase), PLLC's NPI number?

The NPI number for Faith Springs Eternal (fase), PLLC is 1528696796. It was assigned to this organization in the NPPES registry on April 1, 2020.

Where is Faith Springs Eternal (fase), PLLC located?

Faith Springs Eternal (fase), PLLC is located at 910 Hope Mills Rd, Fayetteville, NC 28304. The listed phone number is (919) 888-6397.

What is Faith Springs Eternal (fase), PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Faith Springs Eternal (fase), PLLC was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.