Provider Demographics
NPI:1710378096
Name:CROSSFIRE COUNSELING SERVICES
Entity Type:Organization
Organization Name:CROSSFIRE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:361-334-2811
Mailing Address - Street 1:5337 YORKTOWN BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5376
Mailing Address - Country:US
Mailing Address - Phone:361-334-2811
Mailing Address - Fax:
Practice Address - Street 1:5337 YORKTOWN BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5376
Practice Address - Country:US
Practice Address - Phone:361-334-2811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty