Provider Demographics
NPI:1881845998
Name:LADIES OF GOD'S WORD MINISTRY,INC
Entity Type:Organization
Organization Name:LADIES OF GOD'S WORD MINISTRY,INC
Other - Org Name:HEALTHY LIFE 3 COUNSELING CENTERS,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EFFIE
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,MCC,PHD
Authorized Official - Phone:832-889-8929
Mailing Address - Street 1:15503 FM 529 RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5400
Mailing Address - Country:US
Mailing Address - Phone:832-889-8929
Mailing Address - Fax:281-858-6536
Practice Address - Street 1:15503 FM 529 RD
Practice Address - Street 2:SUITE 121
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5400
Practice Address - Country:US
Practice Address - Phone:832-889-8929
Practice Address - Fax:281-858-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX458139251S00000X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100-10702OtherCERTIFIED PASTORAL COUNSELOR
TX1538207139OtherNPI
TX458139OtherADVANCED PRACTICE NURSE