Provider Demographics
NPI:1275855538
Name:MONICA LAMB WELLNESS FOUNDATION, INC.
Entity Type:Organization
Organization Name:MONICA LAMB WELLNESS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LAMB
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-890-8790
Mailing Address - Street 1:2817 SOUTHMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7707
Mailing Address - Country:US
Mailing Address - Phone:832-890-8790
Mailing Address - Fax:832-369-7330
Practice Address - Street 1:2817 SOUTHMORE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7707
Practice Address - Country:US
Practice Address - Phone:832-890-8790
Practice Address - Fax:832-369-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19779251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health