Organization
FAITH HAVEN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA LYNN SMITH APRN (OWNER, FNPC, MEDICAL DIRECTOR)
(304) 372-9679
Entity
Organization
Contact information
Practice address
222 MAIN ST W, RIPLEY, WV 25271-1432
(304) 372-9679
(304) 373-0117
Mailing address
222 MAIN ST W, RIPLEY, WV 25271-1432
(304) 372-9679
(304) 373-0117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
04/24/2026
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