Provider Demographics
NPI:1750944005
Name:MISSION READY COUNSELING
Entity type:Organization
Organization Name:MISSION READY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JACKY
Authorized Official - Middle Name:SHAY
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-623-8890
Mailing Address - Street 1:201 FAWN LN
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5604
Mailing Address - Country:US
Mailing Address - Phone:888-623-8890
Mailing Address - Fax:
Practice Address - Street 1:623 STATE HIGHWAY 46 E
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5757
Practice Address - Country:US
Practice Address - Phone:888-623-8890
Practice Address - Fax:844-654-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203004OtherLMFT LICENSE