Provider Demographics
NPI:1588037576
Name:LIVE TO GIVE HCS CORP
Entity Type:Organization
Organization Name:LIVE TO GIVE HCS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-505-0736
Mailing Address - Street 1:16111 CAIRNWAY DR STE 160
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3570
Mailing Address - Country:US
Mailing Address - Phone:713-505-0736
Mailing Address - Fax:281-550-7715
Practice Address - Street 1:16111 CAIRNWAY DR STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3570
Practice Address - Country:US
Practice Address - Phone:713-505-0736
Practice Address - Fax:281-550-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health