Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Gate Church Inc

Organization Clinical Psychologist · NPI 1013289149

Life Gate Church Inc is a Clinical Psychologist in Haslet, Texas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

102 Bayne Rd
Haslet, TX 76052-4614
Phone: (817) 675-8135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1013289149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Borsellino — Manager · (817) 966-9310
NPI enumeratedFebruary 6, 2012
Last updated in NPPESApril 4, 2012
Mailing address102 Bayne Rd, Haslet, TX 76052-4614