Provider Demographics
NPI: | 1396376463 |
---|---|
Name: | CARING FOR LIVES INC. |
Entity Type: | Organization |
Organization Name: | CARING FOR LIVES INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO/THERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROLANDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DUMAS-GREEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPC |
Authorized Official - Phone: | 281-451-7814 |
Mailing Address - Street 1: | 6046 FM 2920 RD STE 646 |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRING |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77379-2542 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-451-7814 |
Mailing Address - Fax: | 832-442-5446 |
Practice Address - Street 1: | 6046 FM 2920 RD STE 646 |
Practice Address - Street 2: | |
Practice Address - City: | SPRING |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77379-2542 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-451-7814 |
Practice Address - Fax: | 832-442-5446 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CARING FOR LIVES INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2020-01-28 |
Last Update Date: | 2020-01-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |