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General NPI Number Information
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NPI Number | 1003260589
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE CHURCH
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 6650 RANKIN RD
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City | HUMBLE
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State | TX
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Zip | 77396-1320
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Country | US
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Telephone | 281-741-3693
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RANKIN RD
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City | HUMBLE
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State | TX
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Zip | 77396-1320
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Country | US
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Telephone | 281-741-3693
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EVELYN STULL-ARMOUR
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Credential |
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Telephone | 281-741-3693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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