Organization Name: | SIGHBENN HEALING AND CULTURAL PLACE |
NPI Number: | 1003015777 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MISSID G GHANEM (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 26515 Oak Ridge Dr The Woodlands |
State: | TX US |
Postal Code: | 773801966 |
Phone Number: | 2813670328 |
Fax Number: | 2814199753 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | 26864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |