Provider Demographics
NPI:1003260589
Name:LIGHTHOUSE CHURCH
Entity Type:Organization
Organization Name:LIGHTHOUSE CHURCH
Other - Org Name:HOPE CHRISTIAN COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STULL-ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-741-3693
Mailing Address - Street 1:6650 RANKIN RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-1320
Mailing Address - Country:US
Mailing Address - Phone:281-741-3693
Mailing Address - Fax:
Practice Address - Street 1:6650 RANKIN RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-1320
Practice Address - Country:US
Practice Address - Phone:281-741-3693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty