Provider Demographics
NPI:1447736061
Name:JUDAH CHRISTIAN COUNSELING & RECOVERY PLLC
Entity Type:Organization
Organization Name:JUDAH CHRISTIAN COUNSELING & RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HUSTON
Authorized Official - Last Name:MCCOMB
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:281-813-7360
Mailing Address - Street 1:PO BOX 841665
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0020
Mailing Address - Country:US
Mailing Address - Phone:281-813-7360
Mailing Address - Fax:
Practice Address - Street 1:3017 YOST BLVD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5543
Practice Address - Country:US
Practice Address - Phone:281-813-7360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62699261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)