Healthcare Provider Details

I. General information

NPI: 1124954904
Provider Name (Legal Business Name): LIFE INTENSITY FAITH MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 MAIN ST
FRISCO TX
75033-4302
US

IV. Provider business mailing address

1201 FREESIA DR
LITTLE ELM TX
75068-4658
US

V. Phone/Fax

Practice location:
  • Phone: 817-618-6001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MONICA GRAY
Title or Position: CEO
Credential: LCSW
Phone: 817-618-6001