Organization
SIGHBENN HEALING AND CULTURAL PLACE
Active
Other names
Life Center Healing and Cultural Place
Organization subpart
No
Provider details
NPI number
Authorized official
MISSID G GHANEM MPH, PSY.D (CLINICAL PSYCHOLOGIST)
(281) 367-0328
Entity
Organization
Contact information
Practice address
26515 OAK RIDGE DR, THE WOODLANDS, TX 77380-1966
(281) 367-0328
(281) 419-9753
Mailing address
26515 OAK RIDGE DR, THE WOODLANDS, TX 77380-1966
(281) 367-0328
(281) 419-9753
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
26864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097011302
—
TX
01
—
1619082617
INDIVIDUAL NPI
TX
Enumeration date
07/13/2007
Last updated
05/13/2008
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