Provider Demographics
NPI:1093021750
Name:TRUTH, LIFE & WORD
Entity Type:Organization
Organization Name:TRUTH, LIFE & WORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYNITHIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:CCC
Authorized Official - Phone:713-852-9966
Mailing Address - Street 1:11131 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-1907
Mailing Address - Country:US
Mailing Address - Phone:713-852-9966
Mailing Address - Fax:
Practice Address - Street 1:11131 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-1907
Practice Address - Country:US
Practice Address - Phone:713-852-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100-11324101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty