MEDICARE: EXPECTING LIFE FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1205344934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPECTING LIFE FOUNDATION

Provider Business Mailing Address
First Line	:	3014 HAVERLING DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9159
Country	:	US
Telephone Number	:	713-349-9796
Fax Number	:	877-594-6465

Provider Business Practice Location Address
First Line	:	7505 FANNIN ST STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1945
Country	:	US
Telephone Number	:	713-349-9796
Fax Number	:	877-594-6465

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ANTONIA MOORE
Credential	:	LCSW
Telephone Number	:	713-349-9796

Provider Enumeration Date	:	01/16/2018
Last Update Date	:	01/16/2018

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Directions to “EXPECTING LIFE FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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