# FRIENDSHIP HEALTH COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053985879
- **Authorized official:** MR. PHILLIP MOORE (OWNER)
- **Authorized official phone:** (903) 819-6385

## Contact information

- **Practice address:** 1520 E DENMAN AVE STE 120, LUFKIN, TX 75901-5802
- **Practice address phone:** (936) 994-7010
- **Mailing address:** 1520 E DENMAN AVE STE 120, LUFKIN, TX 75901-5802
- **Mailing address phone:** (936) 994-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 231H00000X | Audiologist | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 05/17/2021