Provider Demographics
NPI:1548615826
Name:INBESI COUNSELING & LIFE CARE
Entity type:Organization
Organization Name:INBESI COUNSELING & LIFE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOFTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-394-1769
Mailing Address - Street 1:4400-2 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:SUITE C
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-7373
Mailing Address - Country:US
Mailing Address - Phone:254-680-6933
Mailing Address - Fax:254-680-6936
Practice Address - Street 1:4400-2 E CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE C
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7373
Practice Address - Country:US
Practice Address - Phone:254-680-6933
Practice Address - Fax:254-680-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201647106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty