Provider Demographics
NPI:1780276931
Name:LIFESPRING COUNSELING & WELLNESS LLC
Entity type:Organization
Organization Name:LIFESPRING COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-543-3002
Mailing Address - Street 1:1525 LAKEVILLE DR STE 112
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2068
Mailing Address - Country:US
Mailing Address - Phone:832-543-3002
Mailing Address - Fax:
Practice Address - Street 1:1525 LAKEVILLE DR STE 112
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2068
Practice Address - Country:US
Practice Address - Phone:832-543-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty