Basic Information
| Provider Information | |||||||||
| NPI: | 1841314572 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FAITH | ||||||||
| FirstName: | TRISTAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A. IN COUNSELING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1821 VERDE WAY | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328358174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4072999013 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2479 ALOMA AVE. | ||||||||
| Address2: | KINDER KONSULTING & PARENTS TOO, INC | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32792 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4076576692 | ||||||||
| FaxNumber: | 4078946010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2007 | ||||||||
| LastUpdateDate: | 04/27/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | T-0088261 | NM | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | MH10201 | FL | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | MH10201 | FL | N | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.