| Vine Dwellers Ministries Inc | |
|
12319 Chesterbrook Dr Houston TX 77031-3107 | |
| (713) 287-1492 | |
| (281) 879-4758 |
| Full Name | Vine Dwellers Ministries Inc |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 12319 Chesterbrook Dr, Houston, Texas |
| Authorized Official Name and Position | Jan Elizabeth Lightfoot (CEO/COUNSELOR/THERAPIST/CASEMNGR) |
| Authorized Official Contact | 7132871492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Dwellers Ministries Inc 12319 Chesterbrook Dr Houston TX 77031-3107 Ph: (713) 287-1492 | Vine Dwellers Ministries Inc 12319 Chesterbrook Dr Houston TX 77031-3107 Ph: (713) 287-1492 |
| NPI Number | 1992931844 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992931844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6759 (Texas) | Secondary |
| 251B00000X | Case Management | 13993 (Texas) | Secondary |
| 251V00000X | Voluntary Or Charitable | 13993 (Texas) | Primary |
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