Organization
FAITHWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERENSA VERONICA TAYLOR MSW LCPA (EXECUTIVE DIRECTOR)
(972) 293-2500
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD, SUITE 400, DESOTO, TX 75115-2391
(972) 293-2500
(214) 210-0219
Mailing address
1801 N HAMPTON RD, SUITE 400, DESOTO, TX 75115-2391
(972) 293-2500
(214) 210-0219
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
867939-4210
TX
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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