Organization
F.A.I.T.H BEHAVIORAL SUPPORT
Active
Parent organization
MY SEPTEMBER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY SEPTEMBER LLC
Authorized official
YVONNE SHERII LEE PHD, LGSW (CEO/CASE MANAGER)
(304) 343-0044
Entity
Organization
Contact information
Practice address
301 WASHINGTON ST W STE 202, CHARLESTON, WV 25302-2230
(304) 951-7736
Mailing address
PO BOX 1105, DUNBAR, WV 25064-7105
(304) 550-5030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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