INTERNATIONAL MISSION CENTER CHURCH, INC. (NPI# 1336224831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336224831 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL MISSION CENTER CHURCH, INC. |
| Other Organization Name | LIGHTWAY PSYCHOLOGICAL SERVICES |
| Practice Address |
1801 Grand Ave Liberty TX 77575-4728 |
| Mailing Address |
807 E Hanson St Cleveland TX 77327-4622 |
| Practice Telephone | 2815929222 |
| Practice Fax Number | 2815925041 |
| Mailing Telephone | 2815929222 |
| Mailing Fax Number | 2815925041 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. ARTHUR N OJIONUKA (CEO) |
| Authorized Official Telephone | 2815929222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Liberty-Dayton Day Activity Health Services | Doing Business As Name - Organization |
| Lightway Psychological Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487738613 | International Mission Center Church, Inc. | Counselor | 807 E Hanson St, Cleveland, TX 77327-4622 | 2006-10-24 |
| Street Address |
1801 GRAND AVE |
| City | LIBERTY |
| State | TX |
| Zip Code | 77575-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1003285156 | Divine Garden Transportation | Non-emergency Medical Transport (VAN) | 450 Mlking Dr., Liberty, TX 77575 | 2015-09-18 |
| 1689895799 | Allen R. Griffin | Eyewear Supplier (Equipment, not the service) | 2718 B N. Main St., Liberty, TX 77575 | 2007-05-02 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699877530 | Lessie Frank | Licensed Vocational Nurse | 612 Highway 90, Liberty, TX 77575 | 2006-09-01 |
| 1588601827 | Trudy Poor Britz | Nurse Practitioner | 1807 Rampart, League, TX 77575 | 2006-06-02 |
| 1285680033 | Faresh Mehta | Optometrist | 2121 Hwy 146 Bypass, Liberty, TX 77575 | 2006-05-25 |
| 1922455781 | Bassam A. Hamid M.d.,p.a. Urgent Care/primarycare | Clinic/Center | 608 Travis, Liberty, TX 77575 | 2016-05-20 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1528581220 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2017-07-25 |
| Find all providers in zip 77575 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033382601 | Senior Connections Psychological Services of New York, PC | Psychologist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2008-04-03 |
| 1912190463 | Richard John Lindquist | Psychologist | 1617 Mason Hollow Rd, Liberty, TN 37095-9201 | 2007-08-18 |
| 1316098031 | Associates In Family Psychology, Inc. | Psychologist | 5 Westowne St., Ste 501, Liberty, MO 64068-3512 | 2007-01-16 |
| 1639221310 | Selina Sanchez | Psychologist | 10 Westowne St Ofc Park, Building 10, Liberty, MO 64068-1166 | 2007-01-16 |
| 1467528844 | Robert P Nussbaum | Psychologist | 59 N Main St Ste 201, Liberty, NY 12754-1888 | 2006-11-28 |
| 1225121023 | Paul L Smock | Psychologist | 134 N Water St, Liberty, MO 64068-1737 | 2006-10-02 |
| 1841381803 | Deanna Kraus Zeilmann | Psychologist | 1170 W Kansas St, Westowne Office Park, Building 10, Liberty, MO 64068-2036 | 2006-09-27 |
| 1790247765 | Calm Seas Psychotherapy, Lcsw,pllc | Psychologist | 155 N Main St, Liberty, NY 12754-1864 | 2019-04-01 |
| 1598002321 | Deanna K Zeilmann Psyd PC | Psychologist | 1170 W Kansas St, Building 10, Liberty, MO 64068-2036 | 2013-01-14 |
| 1235320003 | Smock & Associates, Inc. | Psychologist | 134 N Water St, Liberty, MO 64068-1737 | 2007-08-07 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.