Provider Demographics
NPI:1164288429
Name:KOALITY COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:KOALITY COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GASKILL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC-S, CSC
Authorized Official - Phone:210-241-5423
Mailing Address - Street 1:413 MADRID ST # 2
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-4527
Mailing Address - Country:US
Mailing Address - Phone:210-262-2807
Mailing Address - Fax:
Practice Address - Street 1:413 MADRID ST # 2
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-4527
Practice Address - Country:US
Practice Address - Phone:210-262-2807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty