LIFE GATE CHURCH INC
NPI 1013289149
Psychologist - Clinical in Haslet, TX

Active since February 06, 2012
102 BAYNE RD, HASLET, TX 76052(817) 675-8135 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Gate Church Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE GATE CHURCH INC (NPI 1013289149) is a healthcare organization registered as a clinical in Haslet, Texas and active in the NPI registry since February 2012. The organization lists Charles C Borsellino, Manager, as its authorized official.

NPPES Registry Identity

NPI1013289149
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIFE GATE CHURCH INC
Location Address102 BAYNE RDHaslet, TX 76052-4614
Mailing Address102 Bayne RdHaslet, TX 76052-4614 · (817) 675-8135
Organization SubpartNo
Authorized OfficialCharles C BorsellinoManager · (817) 966-9310
Enumeration DateFebruary 6, 2012
Last NPPES UpdateApril 4, 2012
NPI 1013289149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
102 BAYNE RD, Haslet, TX 76052

Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Gate Church Inc's NPI number?

The NPI number for Life Gate Church Inc is 1013289149. It was assigned to this organization in the NPPES registry on February 6, 2012.

Where is Life Gate Church Inc located?

Life Gate Church Inc is located at 102 Bayne Rd, Haslet, TX 76052. The listed phone number is (817) 675-8135.

What is Life Gate Church Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Life Gate Church Inc was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.