Faithgracejoy, Pllc

NPI #1710770128 in Comanche, Texas

Provider Information

NPI Number: 1710770128
Entity Type: Organization
Organization Name: Faithgracejoy, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 28, 2025
Last Updated: May 28, 2025

Practice Location

Address: 112 W CENTRAL AVE
City: Comanche
State: Texas
ZIP Code: 76442-3215
Phone: (817) 821-9882

Authorized Official

Name: MRS. LISA MARIE DAVIS, MED, LPC
Title: DIRECT OWNER
Phone: (817) 821-9882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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