Provider Demographics
NPI:1861009557
Name:RJB COUNSELING AND FAMILY SERVICES
Entity Type:Organization
Organization Name:RJB COUNSELING AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-476-7681
Mailing Address - Street 1:610 UPTOWN BLVD STE 4000
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3534
Mailing Address - Country:US
Mailing Address - Phone:469-575-0222
Mailing Address - Fax:
Practice Address - Street 1:610 UPTOWN BLVD STE 4000
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3534
Practice Address - Country:US
Practice Address - Phone:469-575-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFEOLOGIE INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1679888796OtherPROFESSIONAL COUNSELING