Provider Demographics
NPI:1225663495
Name:HOPEFUL LIVING CENTER
Entity Type:Organization
Organization Name:HOPEFUL LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:EJIM
Authorized Official - Last Name:UZOWULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-240-6684
Mailing Address - Street 1:PO BOX 720485
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-0485
Mailing Address - Country:US
Mailing Address - Phone:713-240-6684
Mailing Address - Fax:832-328-8403
Practice Address - Street 1:9906 KINGSVILLE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:713-240-6684
Practice Address - Fax:832-328-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty