Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tabernacle of Faith Baptist

Organization Mental Health Counselor · NPI 1114876612

Tabernacle of Faith Baptist provides Mental Health Counselor services in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11328 S Central Ave
Los Angeles, CA 90059-1642
Phone: (323) 569-4062
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1114876612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rickey Hodges — Ceo · (323) 569-4062
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address11328 S Central Ave, Los Angeles, CA 90059-1642

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