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Organization
LIFEWAY INTERNATIONAL HOUSTON LLC
Active
Organization
LIFEWAY INTERNATIONAL HOUSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROSS (CEO)
(713) 270-6753
Entity
Organization
Contact information
Practice address
10110 W SAM HOUSTON PKWY S, SUITE 110, HOUSTON, TX 77099-5152
(713) 270-6753
Mailing address
5090 RICHMOND AVE, #458, HOUSTON, TX 77056-7402
(713) 270-6753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
57841
TX
101YM0800X
Mental Health Counselor
70670
TX
101YP2500X
Professional Counselor
76022
TX
104100000X
Social Worker
58876
TX
104100000X
Social Worker
59011
TX
104100000X
Social Worker
59535
TX
1041C0700X
Clinical Social Worker
Primary
51644
TX
324500000X
Substance Abuse Rehabilitation Facility
—
TX
Other
Enumeration date
01/09/2016
Last updated
08/02/2016
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