Provider Demographics
NPI:1184971392
Name:THE REFUGE COUNSELING RESOURCES
Entity type:Organization
Organization Name:THE REFUGE COUNSELING RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRASK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CSC, NCC, LPC
Authorized Official - Phone:817-965-5886
Mailing Address - Street 1:1716 GRIFFIN LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8560
Mailing Address - Country:US
Mailing Address - Phone:817-965-5886
Mailing Address - Fax:866-929-1927
Practice Address - Street 1:1716 GRIFFIN LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8560
Practice Address - Country:US
Practice Address - Phone:817-965-5886
Practice Address - Fax:866-929-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
12428729OtherCAQH