Provider Demographics
NPI:1255811485
Name:YELLOW RIBBON COUNSELING PLLC
Entity type:Organization
Organization Name:YELLOW RIBBON COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS-FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTS, LPC
Authorized Official - Phone:254-245-2566
Mailing Address - Street 1:2201 S W S YOUNG DR STE 116A
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-5314
Mailing Address - Country:US
Mailing Address - Phone:254-213-3705
Mailing Address - Fax:254-230-1007
Practice Address - Street 1:2201 S W S YOUNG DR STE 116A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5314
Practice Address - Country:US
Practice Address - Phone:254-213-3705
Practice Address - Fax:254-230-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202787101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty