Life Center Healing And Cultural Place - Medicare Mental Health Clinic in The Woodlands, TX

Life Center Healing And Cultural Place is a medicare enrolled mental health clinic (Psychologist - Family) in The Woodlands, Texas. The current practice location for Life Center Healing And Cultural Place is 26515 Oak Ridge Dr, The Woodlands, Texas. For appointments, you can reach them via phone at (281) 367-0328. The mailing address for Life Center Healing And Cultural Place is 26515 Oak Ridge Dr, The Woodlands, Texas and phone number is (281) 367-0328.

Life Center Healing And Cultural Place is licensed to practice in Texas (license number 26864). The clinic also participates in the medicare program and its NPI number is 1003015777. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (281) 367-0328.

Contact Information

Life Center Healing And Cultural Place
26515 Oak Ridge Dr
The Woodlands
TX 77380-1966
(281) 367-0328
(281) 419-9753

Mental Health Clinic Profile

Full NameLife Center Healing And Cultural Place
SpecialityPsychologist
Location26515 Oak Ridge Dr, The Woodlands, Texas
Authorized Official Name and PositionMissid G Ghanem (CLINICAL PSYCHOLOGIST)
Authorized Official Contact2813670328
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Life Center Healing And Cultural Place
26515 Oak Ridge Dr
The Woodlands
TX 77380-1966

Ph: (281) 367-0328
Life Center Healing And Cultural Place
26515 Oak Ridge Dr
The Woodlands
TX 77380-1966

Ph: (281) 367-0328

NPI Details:

NPI Number1003015777
Provider Enumeration Date07/13/2007
Last Update Date05/13/2008

Medicare PECOS Information:

Medicare PECOS PAC ID4880772367
Medicare Enrollment IDO20080424000096

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Medical Identifiers

Medical identifiers for Life Center Healing And Cultural Place such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003015777NPI-NPPES
1619082617OtherTXINDIVIDUAL NPI
097011302MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0000XPsychologist - Family 26864 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life Center Healing And Cultural Place acts as a billing entity for following providers:
Provider NameMissid G Ghanem
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619082617
PECOS PAC ID: 7416051644
Enrollment ID: I20070328000462

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Psychologist in The Woodlands, TX

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Practice Location: 25325 Borough Park Dr, Suite 220, The Woodlands, TX 77380
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