Healthcare Provider Details

I. General information

NPI: 1336062520
Provider Name (Legal Business Name): HIGHBURY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 SANDPIPER CT
ALEDO TX
76008-4047
US

IV. Provider business mailing address

510 SANDPIPER CT
ALEDO TX
76008-4047
US

V. Phone/Fax

Practice location:
  • Phone: 817-330-4896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES JACKSON
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 817-330-4896