Provider Demographics
NPI:1588206361
Name:KINGDOM DWELLING CHRISTIAN COUNSELING, LLC
Entity Type:Organization
Organization Name:KINGDOM DWELLING CHRISTIAN COUNSELING, LLC
Other - Org Name:KINGDOM DWELLING CHRISTIAN COUNSELING, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTA
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC-S NCC
Authorized Official - Phone:281-826-9777
Mailing Address - Street 1:12337 JONES RD STE 422
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4845
Mailing Address - Country:US
Mailing Address - Phone:281-826-9777
Mailing Address - Fax:281-369-6531
Practice Address - Street 1:12337 JONES RD STE 422
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4845
Practice Address - Country:US
Practice Address - Phone:281-826-9777
Practice Address - Fax:281-369-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-13
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty