Provider Demographics
NPI:1790565018
Name:THE AQUEDUCT MINISTRIES
Entity Type:Organization
Organization Name:THE AQUEDUCT MINISTRIES
Other - Org Name:THE AQUEDUCT CHRISTIAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-803-8431
Mailing Address - Street 1:25807 WESTHEIMER PKWY STE 480
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5333
Mailing Address - Country:US
Mailing Address - Phone:281-803-8431
Mailing Address - Fax:832-218-2673
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 480
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5333
Practice Address - Country:US
Practice Address - Phone:281-803-8431
Practice Address - Fax:832-218-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty