Organization · Type 2 NPI

Tabernacle of Faith Baptist

Mental Health Counselor · Los Angeles, CA

NPI number 1114876612 Active

Practice location

11328 S Central Ave
Los Angeles, CA 90059-1642

Call (323) 569-4062 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114876612

Tabernacle of Faith Baptist's National Provider Identifier is 1114876612, issued on Jan 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 27, 2026.