| Kingdom Dwelling Christian Counseling, Llc | |
|
12337 Jones Rd Ste 422 Houston TX 77070-4845 | |
| (281) 826-9777 | |
| (281) 369-6531 |
| Full Name | Kingdom Dwelling Christian Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 12337 Jones Rd Ste 422, Houston, Texas |
| Authorized Official Name and Position | Rosalinda Orta (OWNER) |
| Authorized Official Contact | 2818269777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Dwelling Christian Counseling, Llc 12337 Jones Rd Ste 422 Houston TX 77070-4845 Ph: (281) 826-9777 | Kingdom Dwelling Christian Counseling, Llc 12337 Jones Rd Ste 422 Houston TX 77070-4845 Ph: (281) 826-9777 |
| NPI Number | 1588206361 |
|---|---|
| Provider Enumeration Date | 10/13/2019 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 0446693782 |
|---|---|
| Medicare Enrollment ID | O20240203000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588206361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jonathan Keith Tekell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902399934 PECOS PAC ID: 0345683686 Enrollment ID: I20240203000388 |
| Provider Name | Jann C. Anguish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417518606 PECOS PAC ID: 7517300858 Enrollment ID: I20240203000415 |
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