Provider Demographics
NPI:1952609331
Name:LIVINGMIND PROJECT INC
Entity Type:Organization
Organization Name:LIVINGMIND PROJECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:EZERA
Authorized Official - Last Name:NWOJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-902-7580
Mailing Address - Street 1:6826 METRO BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-8020
Mailing Address - Country:US
Mailing Address - Phone:281-495-1675
Mailing Address - Fax:
Practice Address - Street 1:6826 METRO BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-8020
Practice Address - Country:US
Practice Address - Phone:281-495-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health