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

Faithwalk Community Development Corporation

Organization Addiction (Substance Use Disorder) Counselor · NPI 1457778110

Faithwalk Community Development Corporation is an Addiction (Substance Use Disorder) Counselor in Paris, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
Specialties on file
4

Practice location Address checks out

514 Fox St
Paris, MO 65275
Phone: (660) 327-5752
Fax: (660) 327-6233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2004028021 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1457778110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Wilson — Fnp · (660) 327-5752
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 19, 2014
Mailing addressP.O. Box 119, 514 Fox St., Paris, MO 65275