Provider Demographics
NPI:1558567818
Name:NEW LITE COUNSELING CENTER
Entity Type:Organization
Organization Name:NEW LITE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THEOPHILUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:NATTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-696-9885
Mailing Address - Street 1:4101 NORTH FWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-4200
Mailing Address - Country:US
Mailing Address - Phone:713-696-9885
Mailing Address - Fax:713-696-9895
Practice Address - Street 1:4101 NORTH FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-4200
Practice Address - Country:US
Practice Address - Phone:713-696-9885
Practice Address - Fax:713-696-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3031106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178391201Medicaid
TX178392001Medicaid
TX164290201Medicaid