# FAITH HOPE & LOVE OUTREACH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790320331
- **Authorized official:** MS. DJUANA L COATS MCC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (313) 646-6864

## Contact information

- **Practice address:** 18284 JAMES COUZENS FWY., DETROIT, MI 48235-2503
- **Practice address phone:** (313) 646-6864
- **Mailing address:** 18284 JAMES COUZENS FWY., DETROIT, MI 48235-2503
- **Mailing address phone:** (313) 646-6864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 06/18/2020