Healthcare Provider Details

I. General information

NPI: 1568308906
Provider Name (Legal Business Name): JERNE MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 N MAIN ST
HOUSTON TX
77009-8023
US

IV. Provider business mailing address

2103 N MAIN ST
HOUSTON TX
77009-8023
US

V. Phone/Fax

Practice location:
  • Phone: 832-290-9356
  • Fax:
Mailing address:
  • Phone: 832-290-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KIWANYA TENDE
Title or Position: CHRISTIAN COUNSELOR
Credential: DOCTOR OF COUNSELING
Phone: 832-290-9356