Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faith Springs Eternal (Fase), PLLC

Organization Clinical Social Worker · NPI 1528696796

Faith Springs Eternal (Fase), PLLC is a Clinical Social Worker in Fayetteville, North Carolina. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 Hope Mills Rd
Fayetteville, NC 28304-4243
Phone: (919) 888-6397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 — (678) 612-6699

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinical Social Worker Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1528696796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imani Johnson — Owner · (678) 612-6699
NPI enumeratedApril 1, 2020
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address910 Hope Mills Rd, Fayetteville, NC 28304-4243

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