Provider Demographics
NPI:1609129097
Name:LIZ CHILDRESS MINISTRIES INC
Entity Type:Organization
Organization Name:LIZ CHILDRESS MINISTRIES INC
Other - Org Name:LIFE EDUCATIONAL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBT
Authorized Official - Phone:281-441-9703
Mailing Address - Street 1:7702 FM 1960 RD E
Mailing Address - Street 2:SUITE 114
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2201
Mailing Address - Country:US
Mailing Address - Phone:281-812-0783
Mailing Address - Fax:
Practice Address - Street 1:7702 FM 1960 RD E
Practice Address - Street 2:SUITE 114
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2201
Practice Address - Country:US
Practice Address - Phone:281-812-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty