Provider Demographics
NPI:1750925277
Name:GOODFAITH DAY SERVICES & CONSULTING, LLC
Entity type:Organization
Organization Name:GOODFAITH DAY SERVICES & CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER OF ARTS COUN
Authorized Official - Phone:948-400-7312
Mailing Address - Street 1:PO BOX 8824
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-0824
Mailing Address - Country:US
Mailing Address - Phone:948-400-7312
Mailing Address - Fax:
Practice Address - Street 1:719 E OCEAN VIEW AVE APT 513
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23503-1786
Practice Address - Country:US
Practice Address - Phone:948-400-7312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center