Healthcare Provider Details

I. General information

NPI: 1629670898
Provider Name (Legal Business Name): GREAT OVERCOMERS MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 TETELA DRIVE
HOUSTON TX
77083
US

IV. Provider business mailing address

7410 TETELA DRIVE
HOUSTON TX
77083
US

V. Phone/Fax

Practice location:
  • Phone: 832-896-9871
  • Fax: 832-939-8467
Mailing address:
  • Phone: 832-896-9871
  • Fax: 832-939-8467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. NORMA MAE MCCOY
Title or Position: CEO
Credential:
Phone: 832-896-9871