INTERNATIONAL MISSION CENTER CHURCH, INC.

Provider Demographics

• NPI: 1336224831
• Name: INTERNATIONAL MISSION CENTER CHURCH, INC.
• Entity Type: Organization
• Organization Name: INTERNATIONAL MISSION CENTER CHURCH, INC.
• Other - Org Name: LIGHTWAY PSYCHOLOGICAL SERVICES
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: DR
• Authorized Official - First Name: ARTHUR
• Authorized Official - Middle Name: N
• Authorized Official - Last Name: OJIONUKA
• Authorized Official - Phone: 281-592-9222
• Mailing Address - Street 1: 807 E HANSON ST
• Mailing Address - City: CLEVELAND
• Mailing Address - State: TX
• Mailing Address - Zip Code: 77327-4622
• Mailing Address - Country: US
• Mailing Address - Phone: 281-592-9222
• Mailing Address - Fax: 281-592-5041
• Practice Address - Street 1: 1801 GRAND AVE
• Practice Address - City: LIBERTY
• Practice Address - State: TX
• Practice Address - Zip Code: 77575-4728
• Practice Address - Country: US
• Practice Address - Phone: 281-592-9222
• Practice Address - Fax: 281-592-5041
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-25
• Last Update Date: 2018-06-16

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	101YP1600X	Behavioral Health & Social Service Providers	Counselor	Pastoral	Group - Multi-Specialty
No	103G00000X	Behavioral Health & Social Service Providers	Clinical Neuropsychologist		Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TA0700X	Behavioral Health & Social Service Providers	Psychologist	Adult Development & Aging	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	103TP0814X	Behavioral Health & Social Service Providers	Psychologist	Psychoanalysis	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	261QA0600X	Ambulatory Health Care Facilities	Clinic/Center	Adult Day Care	Group - Multi-Specialty