Provider Demographics
NPI:1871830893
Name:LITT(LIFE INSPIRING THERAPEUTIC TREATMENT)
Entity Type:Organization
Organization Name:LITT(LIFE INSPIRING THERAPEUTIC TREATMENT)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHEMEKA
Authorized Official - Middle Name:NECOLE
Authorized Official - Last Name:ALEXANDER-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:832-896-9472
Mailing Address - Street 1:PO BOX 11581
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77293-1581
Mailing Address - Country:US
Mailing Address - Phone:832-896-9472
Mailing Address - Fax:281-741-2648
Practice Address - Street 1:9914 VALLEY WIND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-3617
Practice Address - Country:US
Practice Address - Phone:832-896-9472
Practice Address - Fax:281-741-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251K00000X, 251V00000X
TXMT048720305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No305S00000XManaged Care OrganizationsPoint of Service