LIFE CENTER HEALING AND CULTURAL PLACE (SIGHBENN HEALING AND CULTURAL PLACE) NPI 1003015777

Psychologist (Family) in The Woodlands, TX

NPI 1003015777 Organization Psychologist Family

About LIFE CENTER HEALING AND CULTURAL PLACE (SIGHBENN HEALING AND CULTURAL PLACE)

Life Center Healing And Cultural Place (sighbenn Healing And Cultural Place) is a provider established in The Woodlands, Texas specializing in psychologist (family) . The NPI number of Life Center Healing And Cultural Place (sighbenn Healing And Cultural Place) is 1003015777 and was assigned on July 2007. The practitioner's primary taxonomy code is 103TF0000X with license number 26864 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. Life Center Healing And Cultural Place (sighbenn Healing And Cultural Place) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Life Center Healing And Cultural Place. The authorized official of this NPI record is Missid G Ghanem Mph, Psy.d (Clinical Psychologist)

NPI

1003015777

Provider NameLIFE CENTER HEALING AND CULTURAL PLACE (SIGHBENN HEALING AND CULTURAL PLACE)
Provider Location Address26515 OAK RIDGE DR THE WOODLANDS, TX 77380
Provider Mailing Address26515 OAK RIDGE DR THE WOODLANDS, TX 77380
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLIFE CENTER HEALING AND CULTURAL PLACE
Other Name TypeDoing Business As (3)
Enumeration Date07-13-2007
Last Update Date05-13-2008


Primary Taxonomy

Taxonomy Code103TF0000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationFamily
License No.26864
License StateTX
Taxonomy DescriptionA psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Business Address

LIFE CENTER HEALING AND CULTURAL PLACE
26515 OAK RIDGE DR
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 367-0328
Fax: (281) 419-9753

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Mailing Address

LIFE CENTER HEALING AND CULTURAL PLACE
26515 OAK RIDGE DR
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 367-0328
Fax: (281) 419-9753



Authorized Official

Authorized Official Name MISSID G GHANEM MPH, PSY.D
Authorized Official TitleCLINICAL PSYCHOLOGIST
Authorized Official Phone(281) 367-0328

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
S43432MEDICARE UPIN (02)TX
1619082617OTHER (01)TX
8F7646MEDICARE PIN (08)TX
097011302MEDICAID (05)TX

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437227410 CAROLYN S. HARRISON LPC
Individual
Counselor (Professional)26515 OAK RIDGE DR
THE WOODLANDS, TX 77380
(281) 367-0328
1275656985 BEVERLY SOLOMON LCSW
Individual
Social Worker (Clinical)26515 OAK RIDGE DR
THE WOODLANDS, TX 77380
(281) 419-1080

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.