Provider Demographics
NPI:1558853960
Name:RECOVERING CHRISTIANITY, INC.
Entity Type:Organization
Organization Name:RECOVERING CHRISTIANITY, INC.
Other - Org Name:FORT WORTH COUNSELING AND INTERVENTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP - COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:682-385-9258
Mailing Address - Street 1:550 BAILEY AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2100
Mailing Address - Country:US
Mailing Address - Phone:817-291-1987
Mailing Address - Fax:
Practice Address - Street 1:550 BAILEY AVE STE 235
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-2100
Practice Address - Country:US
Practice Address - Phone:817-291-1987
Practice Address - Fax:817-886-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75067101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty